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North Carolina rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $447.53 / $1,493.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.49 / $34.49 / $34.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.66 / $372.38 / $397.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $41.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $12.10 / $12.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $950.51 / $950.51