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Iowa rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.90 / $3,259.10 / $11,989.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,380.10 / $5,451.71 / $5,821.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.70 / $3,330.29 / $6,363.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.10 / $5,167.07 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.61 / $5,000.72 / $8,896.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.71 / $5,000.72 / $6,385.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,383.71 / $4,694.34 / $6,385.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,854.53 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.19 / $4,858.96 / $6,928.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,347.78 / $4,237.70 / $4,985.50