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North Carolina rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $60.26 / $60.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $707.95 / $1,819.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00