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North Carolina rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.66 / $1,181.00 / $7,439.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.30 / $2,015.30 / $2,044.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $6,025.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.66 / $860.97 / $1,268.19
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
$2,383.92 / $17,381.18 / $19,913.50