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Missouri 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
$1,948.69 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.18 / $2,257.21 / $2,355.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.66 / $2,500.58 / $3,875.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.73 / $2,778.40 / $5,152.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,694.62 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.12 / $3,665.41 / $13,276.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.81 / $3,066.09 / $6,900.47