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North Carolina rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.81 / $103.86 / $151.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.37 / $103.86 / $205.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.15 / $112.15 / $112.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.92 / $197.32 / $892.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.24 / $222.25 / $353.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.86 / $255.83 / $354.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $64.00 / $186.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $95.16 / $179.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.80 / $184.21 / $294.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.72 / $558.27 / $558.27
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.32 / $1,222.32 / $1,222.32