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Hawaii rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.51 / $2,202.51 / $2,202.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.40 / $2,432.40 / $2,876.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,030.56 / $3,316.62 / $4,100.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.51 / $2,335.10 / $2,724.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.84 / $2,650.14 / $3,419.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,665.07 / $3,935.92