go back

North Carolina rates for HCPCS 01472

Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$617.12 / $617.12 / $752.64
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