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North Carolina rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.79 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.79 / $1,424.79 / $2,473.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.21 / $2,629.02 / $4,006.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.47 / $2,426.07 / $3,935.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.12 / $2,060.00 / $3,553.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.37 / $1,920.37 / $1,920.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.98 / $1,723.85 / $2,807.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.53 / $2,050.94 / $4,021.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,634.61 / $30,931.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,750.00 / $18,750.00 / $18,750.00