go back

North Carolina rates for HCPCS 35103

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,548.13 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $5,370.32 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,467.37 / $5,888.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,311.31 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,495.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $38,018.94 / $38,018.94
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $18,197.01