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North Carolina rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $89.13 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $57.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $44.67 / $83.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $60.26 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $83.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $54.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70