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North Carolina rates for HCPCS 01630

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified

Facilitymedian $912 · 10th–90th $912–$9120%50%$912$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$912.01 / $912.01 / $6,309.57
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