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Washington, DC rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,080.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.10 / $2,706.10 / $2,706.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605.28 / $2,904.76 / $3,225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.95 / $2,855.23 / $5,561.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,814.33 / $4,814.33 / $4,814.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $2,280.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.10 / $3,270.46 / $6,490.90