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North Carolina rates for HCPCS 23395

Muscle transfer, any type, shoulder or upper arm; single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.11 / $1,849.00 / $12,615.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.10 / $852.10 / $7,725.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.64 / $1,579.59 / $2,572.62
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$290.00 / $315.92 / $589.83
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.00 / $221.14 / $395.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,206.24 / $25,530.00 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$291.42 / $1,454.86 / $2,419.88