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North Carolina rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.26 / $956.64 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.05 / $956.64 / $1,554.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.66 / $1,029.46 / $1,717.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $1,128.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.13 / $986.96 / $1,932.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.00 / $860.49 / $1,344.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $872.00 / $1,214.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,263.90 / $1,902.50
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
$593.05 / $915.13 / $2,224.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,296.32 / $5,296.32 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,560.64 / $6,786.96 / $7,942.13