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North Carolina rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.17 / $469.53 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.17 / $160.84 / $288.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.25 / $208.95 / $253.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.96 / $198.32 / $365.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $199.99 / $331.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.17 / $189.57 / $260.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.57 / $211.57 / $211.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.91 / $153.16 / $256.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.34 / $158.16 / $387.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $502.31 / $502.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.56 / $1,242.41 / $1,399.80