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North Carolina rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.84 / $537.20 / $4,376.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.81 / $71.30 / $120.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $513.63 / $710.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.65 / $266.25 / $399.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $120.00 / $1,251.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.90 / $1,059.90 / $16,394.00