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North Carolina rates for HCPCS 29856

Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy)

Facilitymedian $1,698 · 10th–90th $977–$10,9650%10%10th90th$1,698Professionalmedian $1,259 · 10th–90th $912–$2,6920%10%20%10th90th$1,259$100.0$500.0$2.0K$10.0K$50.0K

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
$977.24 / $3,235.94 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,023.29 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,659.59 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,380.38 / $2,187.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,318.26 / $2,041.74
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,737.80 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $14,791.08 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,122.02 / $2,089.30
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $57,543.99 / $57,543.99
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $8,511.38