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North Carolina rates for HCPCS 0201T

Perq Sac Agmntj Bi W/Wo Balo/Mchnl Dev 2/> Ndls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $2,243.60 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.95 / $2,243.60 / $2,261.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,738.12 / $5,738.12 / $5,821.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.99 / $2,232.98 / $4,834.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.59 / $6,025.59 / $6,025.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,358.35 / $11,358.35 / $11,358.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.22 / $1,803.33 / $2,692.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.22 / $1,202.22 / $2,542.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,482.20 / $3,482.20 / $3,482.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.00 / $8,736.00 / $13,997.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.69 / $2,401.17 / $5,073.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,779.04 / $17,381.18 / $19,913.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,311.13 / $15,862.58 / $15,862.58