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Tennessee 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
$2,258.00 / $3,909.95 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.92 / $2,197.26 / $3,602.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $5,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.67 / $2,505.77 / $4,413.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.17 / $2,856.71 / $4,021.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $32,978.24 / $33,860.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,938.16 / $13,276.16 / $15,861.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.31 / $2,902.16 / $4,563.08