go back

Utah 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
$1,561.48 / $3,038.00 / $4,387.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,888.83 / $10,419.48 / $15,184.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00