go back

Kansas rates for HCPCS 35103

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,754.40 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,162.28 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,884.03 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,951.21 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,019.95 / $3,890.45