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North Carolina rates for HCPCS 33864

Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $3,338.68 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,126.07 / $4,795.55 / $7,335.37
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$502.10 / $685.79 / $1,026.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $61,482.96 / $74,025.84
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$704.66 / $767.02 / $1,482.95