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North Carolina rates for HCPCS 28210

Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.14 / $889.22 / $8,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $8,304.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.14 / $684.11 / $1,034.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.52 / $2,142.30 / $26,542.00