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North Carolina rates for HCPCS 26536

Arthroplasty, interphalangeal joint; with prosthetic implant, each joint

Facilitymedian $1,862 · 10th–90th $741–$12,5890%10%10th90th$1,862Professionalmedian $1,047 · 10th–90th $1,047–$1,7780%20%40%90th$1,047$1.0K$2.0K$5.0K$10.0K$20.0K

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
$912.01 / $2,570.40 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $8,317.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $912.01 / $1,445.44
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
$26,915.35 / $26,915.35 / $42,657.95
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53