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Texas 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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,951.21 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $2,398.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $3,467.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $27,542.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $13,182.57 / $13,182.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,398.83 / $6,025.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $2,570.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $3,890.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,819.70 / $2,818.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,548.82