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North Carolina rates for HCPCS 65426

Excision or transposition of pterygium; with graft

Facilitymedian $2,951 · 10th–90th $631$9,5500%5%10%10th90th$2,951Professionalmedian $676 · 10th–90th $457$1,5140%10%10th90th$676$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $3,467.37 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $676.08 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $707.95 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $691.83 / $1,258.93
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $676.08 / $1,122.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $741.31 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $7,079.46 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $616.60 / $1,230.27
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $42,657.95
Wellcare
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $5,495.41