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North Carolina rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $3,128.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $60.00 / $490.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $530.00 / $1,834.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.90 / $757.90 / $757.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,680.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,312.00 / $3,496.00 / $3,900.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,728.00 / $7,728.00 / $14,536.00