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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
$127.13 / $127.13 / $127.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $127.13 / $1,670.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $60.00 / $127.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,590.54 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,250.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.13 / $127.20 / $3,300.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.20 / $127.20 / $2,356.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.10 / $2,326.10 / $2,326.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,099.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.00 / $2,623.11 / $5,246.22
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,500.00 / $10,500.00 / $10,500.00