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North Carolina rates for HCPCS A4929

Tourniquet for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.26 / $0.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $90.00 / $90.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.85