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North Carolina rates for HCPCS 25101

Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.40 / $1,245.00 / $8,413.00
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
$606.10 / $606.10 / $2,710.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.40 / $564.11 / $856.42
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
$1,547.76 / $8,957.00 / $26,542.00