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Louisiana rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,756.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.54 / $3,161.11 / $3,448.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.85 / $2,012.85 / $2,012.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,844.18 / $10,262.66 / $13,909.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,061.30 / $3,670.39 / $4,011.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,178.41 / $3,010.89 / $4,127.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,649.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.89 / $3,220.14 / $4,927.16