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North Carolina rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.98 / $1,212.85 / $1,212.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.28 / $1,212.85 / $1,461.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.69 / $145.69 / $145.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.24 / $394.84 / $1,759.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.14 / $402.47 / $694.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $539.63 / $1,819.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $2,216.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $86.08 / $369.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.80 / $1,485.66 / $3,202.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.89 / $3,586.95 / $3,586.95
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.80 / $2,468.80 / $2,468.80