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Massachusetts rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.18 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.18 / $2,561.78 / $5,912.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.61 / $3,643.26 / $14,818.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,982.47 / $4,363.32 / $7,754.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,043.31 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,359.25 / $2,936.98 / $5,251.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.37 / $4,934.80 / $6,531.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $31,552.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,665.40 / $4,270.14 / $14,818.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,372.00 / $5,876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,597.80 / $3,476.81 / $7,353.66