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North Carolina rates for HCPCS 33426

Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,715.35 / $8,912.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $6,918.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $54,954.09 / $54,954.09
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41