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North Carolina rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.38 / $2,105.71 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.38 / $1,391.16 / $2,559.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.08 / $2,153.90 / $3,645.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.18 / $1,913.29 / $3,446.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.38 / $1,733.33 / $2,810.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.00 / $1,735.00 / $1,735.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,735.70 / $3,758.20
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
$1,176.91 / $1,693.39 / $3,497.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,215.52 / $12,215.52
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,981.50 / $10,981.50 / $11,109.83