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North Carolina rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $15.74 / $15.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $15.74 / $15.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $11.01 / $12.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $16.36 / $26.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $16.36 / $16.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.30 / $22.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $9.86 / $15.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $159.56 / $188.96