go back

New York 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
$2,010.85 / $4,910.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.07 / $2,495.87 / $5,187.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.53 / $2,029.46 / $4,676.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,613.69 / $2,613.69 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,613.69 / $2,613.69 / $2,613.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.77 / $2,138.77 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.02 / $3,288.46 / $6,924.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,810.00 / $11,408.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.76 / $2,641.01 / $3,807.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.24 / $1,921.31 / $3,001.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $2,138.77 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.48 / $3,279.25 / $6,924.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.73 / $2,513.48 / $5,581.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.17 / $2,320.17 / $7,320.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.24 / $2,645.22 / $4,635.80