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North Carolina rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.42 / $48.56 / $48.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $60.00 / $136.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $54.27 / $158.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $54.27 / $186.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $207.00 / $207.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.06 / $1,923.06 / $2,600.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $75.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.22 / $181.78 / $181.78
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.12 / $486.12 / $625.01