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North Dakota 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
$1,813.80 / $1,813.80 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.80 / $1,813.80 / $1,861.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,566.81 / $3,883.30 / $4,588.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.98 / $3,210.65 / $5,182.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.80 / $2,471.52 / $5,441.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.12 / $3,914.72 / $4,627.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.64 / $3,981.92 / $4,627.31