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North Carolina rates for HCPCS 35092

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,168.69 / $10,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,715.35 / $6,165.95
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 / $45,708.82 / $45,708.82