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Minnesota 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
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,585.78 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,981.07 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,165.95 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $5,248.07 / $7,943.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,888.44 / $11,481.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,466.84 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,890.45 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,890.45 / $7,244.36