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Florida rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.13 / $2,132.28 / $3,715.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.92 / $2,855.23 / $4,920.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.16 / $1,649.10 / $3,325.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.62 / $1,904.45 / $2,742.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.00 / $5,172.00 / $13,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.05 / $2,867.43 / $5,065.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.57 / $1,621.57 / $1,621.57