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North Carolina rates for HCPCS 80101

Drug Scr Qual 1 Drug Class Meth Ea Drug Class

Facilitymedian $12 · 10th–90th $5–$1230%20%10th90th$12Professionalmedian $15 · 10th–90th $10–$220%20%10th90th$15$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $22.39
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $12.02 / $28.84
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03