go back

Michigan 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
$2,511.89 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,168.69 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,884.03 / $3,019.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,897.79 / $6,760.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $3,311.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $3,630.78