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North Carolina rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.75 / $979.22 / $10,561.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.75 / $674.00 / $951.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,440.16 / $6,887.55 / $26,542.00