go back

North Carolina rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.88 / $575.50 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.67 / $378.23 / $547.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.93 / $482.03 / $881.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.29 / $435.46 / $995.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.88 / $493.48 / $683.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.50 / $512.50 / $600.00
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
$345.41 / $460.54 / $1,069.85
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.23 / $2,058.23 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.88 / $3,579.28 / $4,233.08