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North Carolina rates for HCPCS Q4186

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $2,511.89 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $128.82 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $144.54 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $338.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $169.82 / $436.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $204.17 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $263.03 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $331.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83