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North Carolina rates for HCPCS 12053

Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.43 / $356.44 / $3,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.97 / $314.99 / $516.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.15 / $180.15 / $180.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.44 / $317.30 / $657.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.33 / $318.77 / $728.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.43 / $356.44 / $498.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.71 / $402.71 / $402.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.60 / $328.68 / $566.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.22 / $874.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.56 / $339.41 / $769.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,479.84 / $1,479.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.32 / $2,603.76 / $3,032.18