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Texas rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,596.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.23 / $2,429.75 / $2,930.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.24 / $2,482.62 / $3,499.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.31 / $1,931.31 / $1,931.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.07 / $2,996.36 / $4,675.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $37,772.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,818.64 / $15,560.08 / $18,172.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.10 / $2,823.03 / $4,965.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.63 / $3,081.50 / $3,595.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.80 / $2,547.57 / $2,867.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.10 / $2,849.47 / $5,560.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.05 / $3,064.46 / $5,210.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $2,547.00 / $9,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.82 / $2,449.02 / $3,942.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.31 / $2,015.12 / $2,739.41