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North Carolina rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.55 / $295.55 / $295.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.55 / $295.55 / $1,231.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.23 / $682.16 / $727.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.19 / $1,172.56 / $1,172.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,334.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.89 / $295.55 / $1,458.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.89 / $290.89 / $1,319.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.20 / $311.20 / $311.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,524.33
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.73 / $1,687.50 / $3,375.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,725.00 / $4,725.00 / $4,725.00