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North Carolina rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.83 / $726.93 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.83 / $495.43 / $857.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.54 / $580.49 / $1,122.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $1,128.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.67 / $556.72 / $1,062.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.83 / $495.43 / $830.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.34 / $604.00 / $657.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $680.60 / $1,349.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.96 / $586.74 / $1,234.17
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.52 / $2,303.52 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.76 / $3,668.00 / $4,340.03