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North Carolina rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.88 / $54.65 / $153.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $22.25 / $44.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $17.73 / $17.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.97 / $106.47 / $106.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $16.59 / $24.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.42 / $26.99 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $18.78 / $36.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $22.24 / $49.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $36.56 / $47.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.47 / $36.15 / $42.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $17.51 / $34.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.06 / $169.40 / $169.40