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North Carolina rates for HCPCS 38100

Splenectomy; total (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.08 / $1,615.00 / $6,953.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.44 / $128.44 / $128.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.00 / $1,357.31 / $2,077.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$200.40 / $281.85 / $419.02
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$140.28 / $192.82 / $293.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,563.44 / $10,362.40
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$253.85 / $553.74 / $553.74