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North Carolina rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $251.19 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $501.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $257.04 / $467.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $15.49