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North Carolina rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.49 / $227.94 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.49 / $241.74 / $308.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $323.57 / $732.00