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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.99 / $1,425.06 / $6,418.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.17 / $1,148.23 / $1,435.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.02 / $1,428.78 / $2,173.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.06 / $1,770.00 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.76 / $1,393.07 / $8,951.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.59 / $1,334.53 / $2,087.41