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North Carolina rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.60 / $489.60 / $489.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.60 / $489.60 / $1,224.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $60.00 / $357.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.60 / $1,024.20 / $1,584.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.00 / $1,368.00 / $1,368.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.40 / $552.40 / $552.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,584.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.00 / $2,160.00 / $2,880.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,472.00 / $5,472.00 / $6,480.00