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North Carolina rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $27.26 / $27.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $27.26 / $1,498.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.89 / $1,013.60 / $1,114.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,740.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $1,218.00 / $2,116.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.00 / $1,218.00 / $1,951.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.00 / $1,928.00 / $1,928.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.25 / $1,692.25 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,855.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,898.78 / $2,065.40 / $6,444.03
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,444.03 / $6,444.03 / $6,525.00