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North Carolina rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.27 / $679.27 / $679.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $679.27 / $679.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.53 / $177.25 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $1,062.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.78 / $679.27 / $1,375.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.78 / $608.78 / $694.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.89 / $273.89 / $273.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.76 / $553.94 / $720.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.50 / $1,062.50 / $1,250.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.51 / $1,805.51 / $2,321.37