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North Carolina rates for HCPCS 20101

Exploration of penetrating wound (separate procedure); chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.92 / $584.91 / $1,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.92 / $460.43 / $828.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.86 / $487.21 / $1,088.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $441.75 / $1,109.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.92 / $470.41 / $738.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.41 / $550.00 / $708.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $738.10 / $1,213.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.64 / $542.11 / $1,408.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,022.34 / $1,022.34
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,430.00 / $4,557.05 / $4,719.60