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North Carolina rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $3,201.65 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.73 / $2,209.98 / $4,273.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.81 / $3,731.47 / $5,903.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.00 / $3,219.90 / $5,653.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.73 / $2,781.00 / $4,767.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.00 / $2,621.00 / $2,769.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,769.10 / $5,762.30
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
$1,879.26 / $2,715.72 / $5,283.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,610.56 / $19,610.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,628.38 / $22,628.38 / $22,628.38