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Indiana rates for HCPCS 35142

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,344.23 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,952.62 / $27,542.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,318.26 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,041.74 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64