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North Carolina rates for HCPCS 35121

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, hepatic, celiac, renal, or mesenteric artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.43 / $1,748.07 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.43 / $1,535.43 / $2,629.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.54 / $3,710.16 / $4,526.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.27 / $2,674.87 / $4,463.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.43 / $2,235.94 / $3,762.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.94 / $2,235.94 / $2,235.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.00 / $2,227.00 / $2,227.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.20 / $2,400.66 / $4,259.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $23,046.72 / $27,603.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,828.00 / $10,828.00 / $13,276.50