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North Carolina rates for HCPCS 20501

Injection of sinus tract; diagnostic (sinogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.60 / $166.10 / $5,449.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.55 / $61.55 / $61.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.47 / $153.41 / $263.87
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 / $227.80 / $227.80