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North Carolina rates for HCPCS G9010

Coordinated care fee, risk adjusted maintenance, Level 4

Facilitymedian $148 · 10th–90th $65–$1480%50%10th$148Professionalmedian $1 · 10th–90th $1–$10%50%$1$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $64.57 / $64.57
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $147.91