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North Carolina rates for HCPCS 78258

Esophageal Motility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.92 / $40.76 / $58.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $38.02 / $38.02
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.00 / $53.64 / $103.16
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.51 / $103.08 / $162.02