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North Carolina rates for HCPCS 28260

Capsulotomy Midfoot Medial Release Only Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.60 / $892.91 / $8,413.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.83 / $1,704.83 / $1,729.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $2,710.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.60 / $815.74 / $1,246.19
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$94.34 / $119.56 / $189.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,483.00 / $2,722.80 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.55 / $272.27 / $272.27