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North Carolina rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.56 / $1,245.00 / $4,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.33 / $253.74 / $456.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $242.66 / $242.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.70 / $387.52 / $615.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.57 / $198.57 / $198.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.08 / $294.75 / $614.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.33 / $279.91 / $449.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.00 / $301.00 / $342.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.60 / $303.70 / $693.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,376.00 / $3,517.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $342.93 / $661.97
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $569.62 / $569.62
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.65 / $954.23 / $2,068.73