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Idaho rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,482.33 / $2,837.13 / $6,532.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,003.94 / $3,677.22 / $4,105.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,521.71 / $3,486.23 / $8,361.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,389.64 / $3,903.23 / $4,108.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,219.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,965.25 / $4,322.25 / $4,392.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.15 / $3,136.06 / $4,812.96