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North Carolina rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $16.75 / $16.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.75 / $16.75 / $20.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.35 / $14.38 / $15.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $26.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.47 / $17.21 / $29.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $25.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.10 / $29.10 / $29.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $26.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $90.79
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.79 / $90.79 / $90.79