go back

North Carolina rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,200.99 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.65 / $754.58 / $858.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.32 / $899.39 / $1,932.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.52 / $1,012.93 / $1,943.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $940.02 / $1,350.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.00 / $606.00 / $1,094.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $3,733.00 / $6,097.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.29 / $882.86 / $2,020.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.04 / $4,973.04 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,256.32 / $6,232.16 / $7,267.80