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Maryland rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,494.40 / $2,706.10 / $3,857.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605.28 / $2,904.76 / $3,320.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.48 / $2,775.97 / $5,561.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.98 / $2,854.74 / $4,814.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.65 / $2,664.30 / $4,591.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.98 / $1,833.98 / $3,099.92