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North Carolina rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.88 / $1,364.84 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,068.11 / $1,987.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.54 / $1,967.20 / $2,792.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $5,006.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.10 / $1,530.15 / $2,797.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.88 / $1,226.91 / $2,119.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.76 / $1,355.00 / $1,399.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,420.20 / $2,854.80
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
$926.20 / $1,288.24 / $2,838.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,442.95 / $16,547.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,050.27 / $10,050.27 / $10,050.27