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Arizona rates for HCPCS 35121

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, celiac, renal, or mesenteric artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.78 / $1,788.12 / $7,967.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.91 / $1,529.21 / $1,911.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.51 / $1,864.81 / $2,716.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.60 / $2,050.00 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.02 / $1,811.46 / $11,104.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.55 / $1,745.72 / $2,786.40