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North Carolina rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.83 / $28.83 / $28.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.83 / $28.83 / $35.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.69 / $45.60 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.68 / $28.83 / $43.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $21.68 / $43.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $47.80 / $47.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $44.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $96.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.40 / $126.40 / $144.00