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North Dakota 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
$2,137.96 / $2,187.76 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,570.88 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,548.13 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,818.38 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,981.07 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,981.07 / $5,370.32