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North Carolina rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.55 / $126.55 / $126.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.55 / $126.55 / $191.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.13 / $310.13 / $381.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.40 / $126.47 / $139.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.87 / $182.18 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $257.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.55 / $264.49 / $550.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.65 / $425.13 / $425.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.10 / $256.10 / $338.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $236.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $447.50 / $804.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.35 / $804.35 / $804.35