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North Carolina rates for HCPCS A4773

Occult blood test strips, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.60 / $10.60 / $10.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.52 / $10.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $10.00 / $10.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $13.11 / $13.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $11.35 / $16.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.64 / $9.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.21 / $90.00 / $90.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $91.87 / $93.38