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California rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.96 / $10,061.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.66 / $2,263.96 / $11,313.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,738.00 / $11,770.00 / $22,895.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,773.11 / $4,013.51 / $7,477.92
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $8,389.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.98 / $2,652.04 / $5,709.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.04 / $2,749.20 / $6,790.53
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.35 / $2,109.69 / $2,742.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.72 / $2,475.96 / $4,536.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $31,552.64 / $39,690.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,818.64 / $15,560.08 / $18,172.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,154.51 / $2,759.48 / $3,675.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.91 / $2,717.39 / $6,332.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,019.55 / $7,019.55 / $7,019.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.35 / $2,334.94 / $3,169.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.00 / $6,395.00 / $18,709.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.17 / $2,666.64 / $5,920.22