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North Carolina rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.59 / $174.59 / $277.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.78 / $154.61 / $183.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.72 / $244.86 / $426.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.97 / $174.59 / $214.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.08 / $141.08 / $181.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.12 / $225.67 / $346.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.89 / $300.83 / $788.47
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.55 / $1,277.03 / $1,277.03