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North Carolina rates for HCPCS 92564

Short increment sensitivity index (SISI)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.93 / $93.93 / $112.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $40.00 / $60.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.89 / $133.07 / $133.07