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North Carolina rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.12 / $64.12 / $64.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.12 / $64.12 / $96.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.42 / $47.85 / $52.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $91.54 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $129.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.12 / $73.63 / $176.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.63 / $73.63 / $83.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.10 / $95.10 / $95.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $119.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.00 / $136.00 / $304.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.81 / $304.81 / $304.81