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Oregon 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
$2,818.38 / $5,128.61 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,786.30 / $6,309.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $4,265.80 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $7,413.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,365.16 / $6,309.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,981.07 / $4,466.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,630.78 / $5,495.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $4,073.80 / $6,025.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,128.61 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,232.93 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,677.35 / $6,456.54