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Tennessee 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
$2,258.00 / $3,269.32 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.16 / $1,859.53 / $3,012.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,324.00 / $5,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.82 / $2,058.46 / $3,565.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.33 / $2,392.35 / $3,445.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,603.04 / $28,318.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,828.00 / $11,104.24 / $13,276.50
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
$1,498.21 / $2,402.29 / $3,814.68