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North Carolina rates for HCPCS Q4208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.60 / $408.00 / $408.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.75 / $408.00 / $528.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.75 / $213.75 / $213.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $633.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $720.00 / $960.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.00 / $1,824.00 / $2,160.00