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North Carolina rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.50 / $127.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $142.50 / $153.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.50 / $142.50 / $142.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $195.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $150.00 / $217.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $330.00 / $337.50