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Missouri 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
$1,518.42 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.61 / $1,518.42 / $1,580.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.50 / $1,601.00 / $2,548.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.44 / $1,794.65 / $3,346.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,076.92 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.04 / $2,430.42 / $8,951.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.04 / $1,934.72 / $3,911.67