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North Carolina rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.40 / $240.40 / $2,942.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.40 / $240.40 / $257.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.79 / $460.79 / $567.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.40 / $168.49 / $185.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $323.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.40 / $280.82 / $357.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.82 / $280.82 / $311.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.30 / $340.30 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $318.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.30 / $351.10 / $1,071.67
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.67 / $1,071.67 / $1,071.67