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North Carolina rates for HCPCS G0219

Pet Imaging Whole Body; Melanoma For Non-Covered Indications (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.16 / $199.16 / $199.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.16 / $199.16 / $1,500.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.13 / $1,130.13 / $1,130.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.14 / $3,132.14 / $3,132.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $199.16 / $219.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.10 / $93.10 / $120.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00