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North Carolina rates for HCPCS 25115

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Flxrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.85 / $1,615.00 / $10,561.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $1,438.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.85 / $1,032.44 / $1,681.00
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
$2,863.96 / $4,754.80 / $26,542.00