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North Carolina rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $46.28 / $46.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $46.28 / $53.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $36.17 / $38.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $71.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $95.45 / $126.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $109.25 / $109.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $63.70 / $63.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $65.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.75 / $115.00 / $229.79
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.79 / $229.79 / $229.79