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North Carolina rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.23 / $2,074.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.16 / $364.75 / $631.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.52 / $404.33 / $764.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.73 / $422.01 / $817.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.28 / $395.00 / $561.09
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$51.86 / $62.97 / $89.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.85 / $479.85 / $600.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.99 / $391.66 / $885.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.40 / $1,775.40 / $16,394.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$127.70 / $127.70 / $127.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.56 / $2,171.85 / $3,286.43