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North Carolina rates for HCPCS 77014

Computed tomography guidance for placement of radiation therapy fields

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.38 / $45.80 / $69.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $210.42 / $709.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.80 / $79.27 / $257.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.66 / $143.11 / $452.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.37 / $91.97 / $151.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.95 / $56.38 / $127.29
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.95 / $86.01 / $120.93
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.86 / $217.20 / $345.64
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.40 / $61.28 / $109.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $93.00 / $148.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.28 / $61.28 / $61.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $109.20 / $260.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.81 / $196.13 / $326.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.12 / $59.04 / $123.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.11 / $135.96 / $218.26
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$331.68 / $331.68 / $417.52
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.59 / $997.59 / $997.80
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$279.39 / $279.39 / $368.63
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$798.20 / $798.20 / $798.20