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North Carolina rates for HCPCS 00790

Anes Intraperitoneal Upper Abdomen W/Laps Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $976.00 / $1,257.11
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$766.08 / $933.80 / $1,001.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,950.00 / $3,990.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,082.23 / $20,997.06 / $30,850.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
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