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North Carolina rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.71 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.83 / $730.98 / $1,339.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,665.09 / $3,665.09 / $3,718.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.13 / $1,169.93 / $1,875.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $2,710.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.59 / $1,067.14 / $1,774.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.71 / $1,000.06 / $1,571.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $902.00 / $953.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $970.30 / $1,804.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,306.00 / $10,761.00 / $17,120.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.29 / $857.30 / $1,765.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.56 / $8,957.00 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,819.43 / $5,819.43 / $6,350.70