go back

New York 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
$1,621.81 / $3,801.89 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,238.72 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,041.74 / $4,677.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,168.69 / $9,332.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $5,011.87