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North Carolina rates for HCPCS 28264

Capsulotomy, midtarsal (eg, Heyman type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.98 / $1,061.49 / $5,449.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $1,438.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.56 / $1,047.21 / $1,571.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,173.96 / $3,471.49 / $12,000.00