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North Carolina rates for HCPCS 28054

Arthrotomy with biopsy; interphalangeal joint

Facilitymedian $562 · 10th–90th $275–$7,2440%10%10th90th$562Professionalmedian $389 · 10th–90th $229–$8320%10%10th90th$389$200.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $912.01 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $741.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $660.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $691.83 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $6,760.83 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $363.08 / $645.65
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $28,840.32
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,019.95