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North Carolina rates for HCPCS 86161

Complement; functional activity, each component

Facilitymedian $25 · 10th–90th $10–$1170%5%10%10th90th$25Professionalmedian $11 · 10th–90th $8–$150%20%40%10th90th$11$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $27.54 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.32 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $51.29 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.96 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $25.12 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.32 / $18.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $29.51 / $141.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.96 / $23.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $8.32 / $16.60
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $141.25