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North Carolina rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Facilitymedian $52 · 10th–90th $52–$520%50%100%$52Professionalmedian $631 · 10th–90th $100–$8130%10%20%10th90th$631$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$100.00 / $630.96 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$512.86 / $660.69 / $676.08
Wellcare
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Wellcare
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Wellcare
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48