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North Carolina rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.23 / $1,249.55 / $7,724.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.21 / $718.61 / $1,216.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.80 / $908.10 / $1,722.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.49 / $897.07 / $1,719.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.23 / $821.89 / $1,194.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.00 / $606.00 / $973.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.00 / $781.26 / $1,919.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,476.54 / $4,476.54 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,742.56 / $5,701.68 / $6,597.00