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North Carolina rates for HCPCS A4397

Irrigation supply; sleeve, each

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $5.37 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.39 / $4.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.57 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.82 / $4.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44