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North Carolina rates for HCPCS 0491T

Ablative laser treatment, non-contact, full field and fractional ablation, open wound, per day, total treatment surface area; first 20 sq cm or less

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.51 / $16.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19