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North Carolina rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.23 / $1,319.52 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.23 / $1,085.15 / $2,124.56
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 / $6,408.88 / $7,751.20