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Alaska rates for HCPCS 35013

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,643.87 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,418.97 / $6,998.82 / $6,998.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,270.12 / $4,270.12 / $4,270.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.09 / $6,998.82 / $10,008.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,816.58 / $7,314.30 / $10,036.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,353.75 / $5,050.35 / $8,106.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.09 / $6,998.82 / $10,008.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.64 / $5,499.00 / $8,353.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,416.10 / $5,124.14 / $7,877.68