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Alaska rates for HCPCS 35103

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $12,302.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,311.31 / $17,378.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,309.57 / $14,791.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $8,709.64 / $12,589.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $12,302.69 / $17,782.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,137.96 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $8,912.51 / $14,125.38