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North Carolina rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.29 / $263.29 / $263.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.29 / $263.29 / $2,171.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.02 / $437.40 / $466.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $2,068.46 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,927.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.60 / $263.29 / $3,656.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.60 / $254.60 / $254.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.20 / $3,123.20 / $3,123.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,689.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,825.40 / $4,986.00 / $6,648.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,631.20 / $12,631.20 / $14,958.00