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North Carolina rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.52 / $6,362.49 / $9,459.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,105.83 / $8,105.83 / $8,105.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.60 / $436.52 / $802.82
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$592.50 / $654.78 / $1,204.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.44 / $5,444.45 / $26,542.00