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North Carolina rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.61 / $1,181.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.61 / $362.25 / $692.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.10 / $675.89 / $995.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $6,025.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.90 / $575.40 / $920.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.61 / $564.41 / $826.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.00 / $460.00 / $600.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $450.50 / $1,030.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.57 / $449.53 / $852.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.44 / $17,381.18 / $19,913.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,674.28 / $4,674.28 / $4,674.28