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Maine rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.82 / $3,330.32 / $3,330.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.32 / $2,742.36 / $4,243.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,728.44 / $3,330.32 / $4,605.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.78 / $2,617.88 / $4,073.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.82 / $3,330.32 / $3,330.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.78 / $3,209.69 / $3,873.77