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North Carolina rates for HCPCS Q4116

Alloderm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,394.54 / $23,596.32 / $48,626.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.51 / $26.44 / $26.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.71 / $94.71 / $94.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.28 / $12.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $32.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $32.39 / $42.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.39 / $32.39 / $32.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $56.60 / $77.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $40.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.12 / $136.12 / $136.12