go back

Arkansas rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,720.10 / $4,613.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.28 / $2,720.10 / $3,317.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,127.94 / $2,816.40 / $2,816.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.67 / $3,721.54 / $4,643.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,230.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.42 / $2,955.12 / $4,463.18