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North Carolina rates for HCPCS 26531

Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint

Facilitymedian $1,905 · 10th–90th $617–$15,1360%10%10th90th$1,905Professionalmedian $1,023 · 10th–90th $1,023–$1,4450%20%40%90th$1,023$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,630.27 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $8,709.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,445.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $831.76 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $11,748.98 / $19,498.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38