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North Carolina rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.12 / $93.12 / $93.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $93.12 / $93.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.30 / $60.65 / $66.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $89.41 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $191.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.12 / $186.75 / $247.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.28 / $213.75 / $213.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $131.00 / $131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $118.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.25 / $225.00 / $384.93
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.14 / $436.14 / $436.14