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North Carolina rates for HCPCS Q4250

Amnioamp-mp per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,422.50 / $2,422.50 / $2,422.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.50 / $2,422.50 / $3,128.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.75 / $1,379.72 / $1,471.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.90 / $2,979.55 / $2,979.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.55 / $2,979.55 / $2,979.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.50 / $2,422.50 / $3,277.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.50 / $1,312.50 / $1,312.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,081.30 / $4,081.30 / $4,081.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $3,873.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,963.38 / $4,051.61 / $8,103.21
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,669.23 / $10,669.23 / $12,825.00