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New Jersey 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
$4,365.16 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,388.44 / $7,585.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $3,715.35
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,888.44 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $6,165.95