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Kentucky 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
$860.00 / $1,449.03 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.70 / $1,404.25 / $1,814.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.30 / $1,233.94 / $1,726.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.84 / $1,522.01 / $1,755.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.69 / $1,522.01 / $2,446.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.44 / $1,427.44 / $1,729.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.50 / $1,745.13 / $2,770.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.05 / $1,783.79 / $2,627.49