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North Carolina rates for HCPCS 31225

Maxillectomy W/O Orbital Exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $2,444.73 / $6,953.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.00 / $2,306.75 / $4,450.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,253.36 / $16,400.56