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North Carolina rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.64 / $40.70 / $49.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $40.70 / $68.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $34.56 / $108.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $67.06 / $115.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.70 / $65.40 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $94.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.27 / $40.70 / $104.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.81 / $35.76 / $83.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $66.40 / $96.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $93.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.01 / $92.57 / $288.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $288.80 / $288.80