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North Carolina rates for HCPCS 75801

Lymphangiography Extremity Only Unilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.28 / $43.32 / $69.17
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.31 / $48.31 / $48.31
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.00 / $60.26 / $115.76
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $205.82 / $205.82