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North Carolina rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,940.00 / $6,100.50 / $8,055.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,443.88 / $2,940.00 / $3,123.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,792.45 / $3,583.13 / $9,648.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,940.00 / $3,675.00 / $5,512.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.75 / $2,388.75 / $3,675.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,042.50 / $5,622.75 / $7,037.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.50 / $2,205.00 / $3,785.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,394.50 / $17,456.25 / $17,456.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,301.50 / $18,301.50 / $27,562.50