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North Carolina rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.80 / $448.80 / $448.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.80 / $448.80 / $960.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.47 / $338.77 / $372.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $915.09 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,294.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.80 / $665.00 / $1,834.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $665.00 / $665.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.10 / $918.10 / $918.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,189.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,417.80 / $2,153.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.35 / $2,296.35 / $3,021.52