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North Carolina rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.87 / $83.87 / $83.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $83.87 / $83.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.70 / $76.70 / $76.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $76.70 / $76.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.30 / $109.30 / $109.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $106.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.09 / $164.36 / $219.14
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.37 / $416.37 / $493.07