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North Carolina rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $4,013.98 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,541.77 / $2,646.55 / $4,746.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,156.14 / $4,451.14 / $6,917.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,840.06 / $3,905.09 / $6,434.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,541.77 / $3,424.00 / $5,744.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,289.00 / $3,289.00 / $3,369.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $3,312.80 / $6,600.50
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
$2,293.21 / $3,521.79 / $6,994.90
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $23,489.68 / $23,489.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,619.68 / $27,619.68 / $27,619.68