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Rhode Island rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.18 / $2,763.26 / $2,954.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.87 / $2,765.73 / $4,463.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.73 / $3,187.66 / $5,030.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.50 / $2,768.35 / $4,906.27