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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,863.40 / $1,863.40 / $1,863.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,259.00 / $4,803.00 / $5,764.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,858.77 / $3,051.05 / $5,140.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,186.15 / $5,019.00 / $8,455.92