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North Carolina rates for HCPCS C9254

Injection Lacosamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $50.12 / $242.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.31 / $0.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $100.00