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North Carolina rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.50 / $4,148.00 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.50 / $1,034.50 / $1,888.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.04 / $1,845.75 / $2,897.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.17 / $1,720.26 / $2,907.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.59 / $1,316.62 / $2,308.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.62 / $1,316.62 / $2,706.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $1,861.00 / $2,251.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.92 / $1,390.42 / $2,923.33
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,869.30 / $6,817.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,456.56 / $8,965.58 / $8,965.58