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North Carolina rates for HCPCS 24301

Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.42 / $6,953.60 / $10,804.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,503.36 / $2,503.36 / $2,539.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $6,025.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.42 / $957.00 / $1,498.00
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.43 / $133.97 / $232.69
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
$2,827.20 / $19,913.50 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$171.79 / $1,134.79 / $1,887.52