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North Carolina rates for HCPCS 75956

Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$356.84 / $467.07 / $543.23
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$515.78 / $580.60 / $785.41
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$747.95 / $747.95 / $1,526.46