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North Carolina rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $1,005.38 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.15 / $735.15 / $1,308.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.26 / $1,044.69 / $1,814.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.92 / $959.95 / $1,701.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $913.49 / $1,395.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.86 / $828.00 / $926.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $945.00 / $1,664.70
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
$582.83 / $802.86 / $1,687.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,291.20 / $3,654.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,175.52 / $5,175.52 / $6,164.70