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North Carolina rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $8.32 / $11.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $4.69 / $9.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.67 / $3.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $8.32 / $12.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.33 / $7.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $10.30 / $21.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00