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North Carolina rates for HCPCS G0458

Low dose rate (LDR) prostate brachytherapy services, composite rate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $1,518.43 / $1,518.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $31.80 / $51.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00