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California rates for HCPCS 35142

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.86 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $9,557.00 / $19,252.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.55 / $1,769.91 / $2,232.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.30 / $1,516.58 / $2,794.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,800.36 / $13,320.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.99 / $1,717.48 / $2,310.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00