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North Carolina rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.96 / $785.96 / $1,257.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.96 / $785.96 / $785.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.50 / $1,212.50 / $1,212.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,376.68 / $1,376.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.94 / $2,164.94 / $2,546.04