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North Carolina rates for HCPCS 11004

Dbrdmt Skn Sbq T/M/F Necro Infctj Xtrnl Gent&Per

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.41 / $886.04 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.41 / $670.10 / $890.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,906.00 / $6,388.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,174.47 / $5,080.88