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North Carolina rates for HCPCS V2020

Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $69.48 / $84.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.93 / $96.74 / $96.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.36 / $113.36 / $113.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $60.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.45 / $84.71 / $115.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.03 / $37.54 / $50.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $154.08 / $476.62
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.74 / $498.74 / $564.45