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North Carolina rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.24 / $1,534.01 / $7,608.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $234.19 / $385.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.05 / $430.45 / $826.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.80 / $363.85 / $633.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.01 / $341.29 / $638.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.96 / $421.96 / $662.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.28 / $371.00 / $690.90
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
$276.45 / $411.31 / $763.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.85 / $1,035.85 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.00 / $1,978.72 / $2,276.78