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North Carolina rates for HCPCS 25240

Excision distal ulna partial or complete (eg, Darrach type or matched resection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $6,606.93 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $588.84 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $9,332.54 / $14,454.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$891.25 / $891.25 / $891.25