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North Carolina rates for HCPCS L3254

Nonstandard size or width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $14.05 / $14.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $14.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $22.56 / $24.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.75 / $10.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $10.75 / $10.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $14.05 / $18.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00