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Virginia rates for HCPCS 35141

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femoral artery (profunda femoris, superficial femoral)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.41 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.97 / $1,192.76 / $1,471.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.30 / $1,518.81 / $2,259.55
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$349.43 / $370.86 / $438.88
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$244.60 / $259.60 / $307.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.89 / $1,482.09 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00