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North Carolina rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.22 / $2,686.79 / $6,649.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$64.45 / $106.91 / $186.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $243.22 / $538.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.06 / $180.06 / $229.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.97 / $394.98 / $784.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.84 / $330.34 / $570.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.88 / $341.11 / $591.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.52 / $389.52 / $597.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.25 / $352.33 / $651.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.96 / $367.47 / $689.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.05 / $1,037.05 / $12,000.00
Wellcare
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$507.15 / $507.15 / $507.15
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.00 / $1,812.48 / $2,099.69