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Oklahoma rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.33 / $2,739.33 / $2,824.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.23 / $3,171.85 / $3,678.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,837.80 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.12 / $2,889.51 / $15,560.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,594.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.97 / $2,648.73 / $3,818.06