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North Carolina rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.14 / $636.48 / $7,968.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $1,215.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.14 / $625.91 / $942.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,709.43 / $1,709.43