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Minnesota rates for HCPCS 35103

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,709.64 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,677.35 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,244.36 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $6,025.60 / $9,120.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,918.31 / $13,489.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,011.87 / $7,585.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,467.37 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,365.16 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,365.16 / $8,709.64