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Indiana rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.37 / $2,450.03 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,149.42 / $2,450.03 / $3,161.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.16 / $2,757.70 / $3,805.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.10 / $2,593.26 / $4,167.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.95 / $2,408.03 / $3,334.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.41 / $3,103.10 / $6,061.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.00 / $5,660.00 / $11,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.65 / $2,778.50 / $4,300.64