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Massachusetts 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
$1,431.04 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.04 / $2,433.40 / $4,964.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.29 / $3,173.45 / $12,938.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.27 / $3,743.87 / $6,570.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,794.80 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.10 / $2,564.85 / $4,585.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.82 / $4,307.75 / $5,655.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $27,539.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.14 / $3,684.75 / $12,938.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.44 / $2,933.56 / $5,655.70