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North Carolina rates for HCPCS 00104

Anesthesia Electroconvulsive Therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$622.79 / $682.69 / $790.48
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$518.00 / $518.00 / $518.00
Wellcare
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Wellcare
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50