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North Carolina rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.66 / $0.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00