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North Carolina rates for HCPCS 55821

Prostatectomy Suprapubic Subtotal 1/2 Stages

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.49 / $1,346.54 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.49 / $1,194.16 / $2,076.44
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$202.40 / $238.83 / $415.29
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$133.76 / $167.18 / $290.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,173.84 / $7,644.88
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$191.52 / $412.05 / $412.05