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North Carolina rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.27 / $1,181.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.60 / $150.27 / $219.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.68 / $352.55 / $438.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.38 / $307.51 / $463.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.27 / $283.00 / $393.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.76 / $326.76 / $600.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.71 / $157.57 / $238.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $172.39 / $390.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.46 / $2,000.00 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.89 / $2,380.89 / $2,380.89