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Virginia 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
$1,621.81 / $3,630.78 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,348.96 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $3,019.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,949.84 / $2,951.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,467.37 / $7,079.46