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North Carolina rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.24 / $95.24 / $95.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $95.24 / $112.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $26.28 / $28.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $106.97 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $112.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.18 / $106.45 / $123.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $106.45 / $106.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $91.00 / $91.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $139.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.66 / $142.30 / $171.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.45 / $268.45 / $504.23