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North Carolina rates for HCPCS G0204

Dx mammo incl cad bi

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.01 / $190.01 / $227.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.30 / $197.60 / $360.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.93 / $532.20 / $532.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.64 / $742.51 / $742.51