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North Carolina rates for HCPCS 21390

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.51 / $1,933.00 / $12,247.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $5,006.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.51 / $970.06 / $1,744.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $14,442.95 / $16,547.20