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Arizona rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.60 / $2,506.19 / $11,313.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.57 / $2,092.76 / $2,615.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.04 / $2,522.23 / $3,836.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.00 / $2,589.82 / $4,955.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.16 / $2,473.56 / $15,560.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $2,336.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.21 / $2,471.51 / $3,849.52