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North Carolina rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.02 / $4,389.32 / $12,247.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $3,394.57 / $5,654.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $1,640.39 / $2,536.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,385.84 / $16,547.20 / $26,542.00