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North Carolina rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.31 / $3,324.50 / $7,593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $5,302.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.31 / $1,266.86 / $1,962.45
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.76 / $177.36 / $311.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,306.00 / $10,968.00 / $17,120.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,630.85 / $16,394.00 / $17,524.30
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$223.88 / $998.64 / $1,661.06