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South Carolina rates for HCPCS 35091

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.10 / $4,805.14 / $16,467.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,873.85 / $2,841.18 / $4,183.31
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$482.15 / $626.40 / $684.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00