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North Carolina rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.21 / $2,009.41 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,246.63 / $2,407.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.86 / $3,474.86 / $3,525.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.49 / $2,071.83 / $3,138.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $5,006.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.26 / $1,828.54 / $3,260.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.21 / $1,540.63 / $2,411.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $1,651.00 / $1,651.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,569.20 / $3,455.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.82 / $1,497.17 / $3,185.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,723.36 / $16,394.00 / $16,547.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,976.00 / $9,976.00 / $10,130.40