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North Carolina rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $33.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $17.78 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $109.65 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $23.44 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $38.02 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $36.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $46.77 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $22.39 / $50.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $28.18 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $25.70 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $17.78 / $35.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82