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North Carolina rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $995.86 / $3,136.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,032.47 / $4,670.00 / $6,808.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.80 / $181.20 / $492.10
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.72 / $360.66 / $779.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.10 / $209.62 / $288.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.46 / $292.38 / $420.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $189.16 / $419.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.03 / $240.44 / $302.14
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$205.43 / $367.67 / $655.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $211.00 / $300.00
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$367.67 / $367.67 / $367.67
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,201.84 / $5,201.84 / $5,201.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $312.89 / $396.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $249.23 / $551.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $429.16 / $429.16
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.44 / $1,679.92 / $1,965.90