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North Carolina rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.15 / $1,170.78 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.17 / $755.39 / $952.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.31 / $862.33 / $1,809.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.79 / $970.32 / $1,894.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.15 / $902.59 / $1,299.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.00 / $606.00 / $1,039.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.03 / $864.17 / $2,015.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,066.04 / $5,066.04 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,330.80 / $6,371.04 / $7,518.68