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North Carolina rates for HCPCS 00402

Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$476.85 / $476.85 / $476.85
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