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North Carolina rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $5,993.00 / $11,986.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.37 / $983.00 / $2,291.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.79 / $1,550.73 / $2,392.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.38 / $3,390.19 / $5,654.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.92 / $1,349.54 / $2,320.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.73 / $1,095.71 / $1,653.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.00 / $860.00 / $2,016.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.40 / $1,182.80 / $1,898.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.25 / $1,068.76 / $2,296.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,022.31 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.67 / $9,862.15 / $9,862.15