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North Carolina rates for HCPCS 01472

Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$616.60 / $616.60 / $977.24
Wellcare
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$52.48 / $52.48 / $52.48
Wellcare
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$52.48 / $52.48 / $52.48
Wellcare
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$52.48 / $52.48 / $52.48