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North Carolina rates for HCPCS A2004

XCelliStem, 1 mg

Facilitymedian $15 · 10th–90th $13–$270%50%10th90th$15Professionalmedian $13 · 10th–90th $12–$130%50%10th90th$13$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $20.42
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $14.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $1,230.27