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South Carolina rates for HCPCS 35102

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 iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.42 / $5,055.88 / $16,467.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.24 / $2,750.00 / $4,400.46
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$493.19 / $550.00 / $747.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00