go back

North Carolina rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $144.54 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $112.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $275.42 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $194.98 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $131.83 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $588.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23