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North Carolina rates for HCPCS 35621

Bypass graft, with other than vein; axillary-femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $8,709.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,621.81 / $2,951.21
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 / $13,182.57 / $13,182.57