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Texas 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
$969.00 / $3,596.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.61 / $1,388.75 / $1,672.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.98 / $1,443.29 / $1,992.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.41 / $1,059.41 / $1,059.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.86 / $1,682.06 / $2,642.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $14,251.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,130.96 / $8,951.20 / $9,964.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.34 / $1,596.22 / $2,777.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.62 / $1,689.95 / $1,971.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.40 / $1,523.40 / $1,523.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.34 / $1,670.52 / $3,188.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.34 / $1,734.38 / $2,847.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.43 / $1,375.52 / $2,192.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.54 / $1,103.95 / $1,503.13