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North Carolina rates for HCPCS 23020

Capsular Contracture Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.26 / $1,181.00 / $7,439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $2,710.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.26 / $945.48 / $1,381.80
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.49 / $136.22 / $213.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.96 / $8,957.00 / $16,394.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.54 / $510.42 / $849.00