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North Carolina rates for HCPCS 15958

Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.16 / $1,770.88 / $10,561.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.00 / $1,431.29 / $1,968.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,570.57 / $11,102.00 / $26,542.00