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North Carolina rates for HCPCS 80343

Antipsychotics, not otherwise specified; 4-6

Facilitymedian $26 · 10th–90th $13–$500%20%10th90th$26Professionalmedian $22 · 10th–90th $18–$760%20%40%10th90th$22$10.0$20.0$50.0

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $27.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $85.11