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North Carolina rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.54 / $1,112.96 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.01 / $734.68 / $922.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.00 / $951.20 / $1,804.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.34 / $942.75 / $1,819.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.54 / $902.89 / $1,292.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $1,028.60
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
$685.72 / $827.01 / $2,153.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,808.28 / $4,808.28 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,083.04 / $6,137.60 / $7,145.78