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North Carolina rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $229.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $229.50 / $229.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.16 / $88.51 / $97.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.79 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $229.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.56 / $250.33 / $297.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.33 / $250.33 / $250.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.40 / $177.40 / $177.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $163.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $263.50 / $562.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,125.88 / $3,125.88 / $3,125.88