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North Carolina rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.51 / $1,047.05 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.78 / $752.27 / $1,339.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.45 / $1,340.31 / $1,846.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.28 / $983.70 / $1,743.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.51 / $908.00 / $1,424.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.57 / $865.00 / $948.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $968.30 / $1,844.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.86 / $865.00 / $1,919.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,371.80 / $3,742.67
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,300.88 / $5,300.88 / $6,320.33