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North Carolina rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.00 / $3,687.29 / $13,764.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,010.91 / $4,994.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,463.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $38,331.01 / $38,331.01