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North Carolina rates for HCPCS 88309

Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.10 / $114.82 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $295.12 / $812.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $223.87 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $154.88 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $213.80 / $257.04
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $234.42 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $269.15 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $107.15 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $138.04 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $446.68
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $208.93 / $218.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $269.15 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $371.54 / $660.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $138.04 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $234.42 / $416.87
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,548.13
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$891.25 / $891.25 / $1,122.02
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,454.71