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Oregon 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
$2,398.83 / $4,466.84 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,168.69 / $5,495.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,715.35 / $4,570.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,388.44 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,801.89 / $5,495.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,162.28 / $5,128.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,467.37 / $5,128.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,232.93 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,365.16 / $5,623.41