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Tennessee 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
$1,998.12 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.18 / $1,489.93 / $2,413.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.95 / $1,610.04 / $2,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.51 / $1,867.04 / $2,692.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,251.82 / $15,703.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,130.96 / $8,951.20 / $9,964.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.64 / $1,925.67 / $3,015.45