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North Carolina rates for HCPCS 67414

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.11 / $5,781.16 / $11,986.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.00 / $1,428.11 / $2,066.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,786.48