go back

North Carolina rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.50 / $2,343.00 / $5,844.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.12 / $603.50 / $748.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.65 / $1,202.77 / $1,481.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.51 / $608.13 / $648.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.71 / $1,107.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.05 / $603.50 / $913.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.00 / $454.00 / $569.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.70 / $953.70 / $1,466.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.79 / $404.52 / $576.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.19 / $4,535.59 / $4,535.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,583.33 / $4,583.33 / $5,960.33