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North Carolina rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $2,092.77 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.27 / $1,836.27 / $3,294.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.01 / $3,345.20 / $5,279.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.42 / $3,171.34 / $5,547.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,836.27 / $2,705.18 / $4,499.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,705.18 / $2,705.18 / $2,705.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.80 / $2,714.80 / $2,714.80
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
$1,934.82 / $2,838.72 / $4,946.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,539.52 / $32,978.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,938.16 / $12,938.16 / $15,861.83