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Minnesota rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.80 / $2,196.80 / $2,196.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.80 / $2,589.29 / $3,259.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,262.00 / $9,163.31 / $18,591.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,338.34 / $5,212.38 / $7,896.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,841.33 / $6,865.61 / $16,516.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,821.84 / $6,220.04 / $9,020.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,935.66 / $6,276.82 / $13,004.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,193.86 / $5,161.85 / $7,630.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.65 / $3,500.00 / $5,819.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.09 / $4,698.10 / $9,237.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.00 / $3,236.00 / $5,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,871.06 / $4,888.39 / $8,879.60