go back

North Carolina rates for HCPCS A4736

Topical anesthetic, for dialysis, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $45.60 / $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
$1.68 / $1.68 / $1.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $15.00 / $22.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $18.00