go back

North Carolina rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.57 / $2,499.51 / $5,726.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.38 / $143.97 / $245.29
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$19.04 / $20.16 / $34.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $874.00 / $2,074.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $1,300.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.89 / $51.03 / $51.03