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New York 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
$1,453.96 / $4,910.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.89 / $1,672.25 / $3,008.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.27 / $1,351.99 / $2,954.49
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.10 / $1,752.10 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.10 / $1,752.10 / $1,752.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.44 / $1,427.44 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.96 / $2,099.61 / $4,590.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,073.44 / $8,749.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.06 / $1,658.75 / $2,391.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.57 / $1,192.26 / $2,129.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,427.44 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.66 / $2,059.61 / $4,562.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.28 / $1,617.20 / $3,806.28
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.58 / $1,561.58 / $4,744.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.57 / $1,661.74 / $3,120.10