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Louisiana rates for HCPCS 35122

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,681.70 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.39 / $2,681.70 / $2,925.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,617.41 / $3,266.96 / $3,587.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.89 / $2,574.67 / $3,529.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.96 / $2,835.34 / $4,179.92