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North Carolina rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $408.00 / $408.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.01 / $521.41 / $556.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $810.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.00 / $408.00 / $891.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $285.00 / $436.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.30 / $501.30 / $501.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $453.73
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.50 / $688.50 / $1,215.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.00 / $2,835.00 / $2,835.00