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West Virginia 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
$1,321.46 / $1,321.46 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.46 / $1,393.15 / $1,562.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.50 / $1,440.00 / $1,568.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.58 / $1,394.58 / $1,394.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.44 / $1,427.44 / $1,427.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.68 / $1,880.19 / $7,284.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.36 / $1,713.50 / $2,115.80