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North Carolina rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.04 / $1,245.00 / $10,561.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.55 / $1,703.55 / $1,728.40
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
$525.04 / $683.15 / $965.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,817.95 / $8,957.00