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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
$851.14 / $1,412.54 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,819.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,698.24
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $7,244.36