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North Carolina rates for HCPCS 63268

Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.13 / $2,112.94 / $12,615.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $13,652.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.13 / $1,714.82 / $2,687.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $14,926.05 / $14,926.05