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North Carolina rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.77 / $139.77 / $139.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.77 / $139.77 / $158.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.91 / $249.02 / $326.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.94 / $158.91 / $169.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $158.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $158.91 / $179.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.77 / $161.91 / $188.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.72 / $65.72 / $109.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $206.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.39 / $654.50 / $654.50