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North Carolina rates for HCPCS 77011

Ct Guidance Stereotactic Localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.84 / $65.04 / $99.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.77 / $219.77 / $515.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.95 / $60.84 / $101.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.93 / $158.93 / $387.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.43 / $119.37 / $162.79
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.88 / $842.90 / $1,342.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.81 / $69.81 / $69.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.83 / $534.16 / $1,213.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.94 / $95.40 / $167.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.20 / $416.96 / $1,098.64
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.37 / $86.72 / $162.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $201.00 / $280.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.72 / $86.72 / $86.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.00 / $420.20 / $615.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.88 / $430.27 / $728.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.38 / $88.65 / $173.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.46 / $309.22 / $671.30
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.88 / $446.88 / $560.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,377.41 / $3,379.05 / $3,379.05
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$432.70 / $432.70 / $496.35
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3,094.27 / $3,094.27 / $3,094.27