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North Dakota rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.04 / $2,153.04 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.04 / $2,153.04 / $2,196.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,086.01 / $4,549.81 / $5,375.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.32 / $3,673.98 / $5,930.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.04 / $2,829.80 / $6,459.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.15 / $4,137.57 / $5,498.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.82 / $4,406.93 / $5,498.89