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North Carolina rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $32.64 / $32.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $32.64 / $32.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $21.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $38.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.68 / $32.64 / $42.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $36.47 / $36.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $41.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $126.78