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North Carolina rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,584.89 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $2,344.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $1,584.89 / $3,311.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $229.09 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,090.30 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,862.09 / $2,511.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29