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North Carolina rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $26.33 / $26.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.56 / $24.56 / $24.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.33 / $26.33 / $39.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.76 / $27.52 / $31.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $150.43 / $150.43