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West Virginia 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
$1,400.00 / $1,999.19 / $1,999.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.19 / $2,085.23 / $2,295.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.13 / $2,300.90 / $2,506.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,228.33 / $2,228.33 / $2,228.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.77 / $2,138.77 / $2,138.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.56 / $2,961.39 / $11,582.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.64 / $2,431.07 / $3,563.30