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North Carolina rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.56 / $105.56 / $105.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.42 / $113.21 / $283.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.96 / $99.99 / $111.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.00 / $23.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.12 / $1,613.12 / $1,613.12