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North Carolina rates for HCPCS A4653

Peritoneal dialysis catheter anchoring device, belt, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $10.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $8.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $7.70