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North Carolina rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.75 / $4,376.00 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.55 / $282.76 / $526.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.98 / $534.89 / $790.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.32 / $400.35 / $719.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.55 / $323.18 / $583.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.57 / $369.57 / $746.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $272.20 / $770.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.69 / $400.05 / $1,155.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.60 / $1,398.60 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.00 / $2,140.08 / $2,480.69