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South Carolina rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.05 / $6,020.98 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,154.51 / $3,009.05 / $3,447.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.00 / $3,078.00 / $4,603.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.67 / $3,074.49 / $5,094.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,315.19 / $3,309.96 / $5,238.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.39 / $1,820.34 / $3,061.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.00 / $6,074.00 / $8,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.65 / $3,293.55 / $6,268.48