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North Carolina rates for HCPCS 44604

Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.57 / $1,611.13 / $3,323.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.55 / $117.55 / $117.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.77 / $1,302.46 / $1,908.21
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$243.20 / $266.39 / $385.19
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$167.55 / $184.24 / $262.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,826.32 / $9,482.71
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$233.08 / $506.37 / $506.37