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North Carolina rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.68 / $781.36 / $944.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $239.37 / $239.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $246.55 / $406.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.70 / $448.80 / $448.80