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North Carolina rates for HCPCS A2011

Supra SDRM, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $1,339.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.00 / $260.70 / $278.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00