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North Carolina rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.36 / $1,258.38 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.36 / $776.36 / $1,366.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.33 / $1,765.57 / $2,261.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.71 / $1,319.67 / $2,137.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.36 / $1,082.45 / $1,969.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.45 / $1,082.45 / $1,967.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,283.90 / $1,974.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,984.00 / $13,997.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.49 / $1,099.90 / $2,362.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,931.88 / $14,302.50 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,010.07 / $9,010.07 / $9,010.07