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North Carolina rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.77 / $762.88 / $762.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.95 / $762.88 / $762.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.25 / $355.51 / $384.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.08 / $852.63 / $1,088.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $891.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.36 / $762.88 / $987.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.91 / $344.82 / $344.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.30 / $690.60 / $1,073.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,636.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.50 / $1,346.25 / $1,795.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,410.50 / $3,410.50 / $4,038.75