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North Carolina rates for HCPCS 28675

Open Treatment Interphalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.12 / $784.12 / $8,413.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.30 / $2,015.30 / $2,044.70
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
$401.12 / $599.00 / $993.28
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
$1,923.92 / $2,134.75 / $26,542.00