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New York rates for HCPCS 35011

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,715.35 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,698.24 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$169.82 / $169.82 / $169.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,778.28 / $3,630.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,456.54 / $16,595.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $3,890.45