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Alabama rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $3,789.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.60 / $3,789.59 / $4,693.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,739.84 / $19,054.33 / $25,634.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,330.16 / $3,192.00 / $3,766.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.40 / $3,189.67 / $7,863.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $1,835.00 / $6,546.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.51 / $2,455.96 / $3,685.21