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North Carolina rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $66.23 / $66.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $66.23 / $94.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.33 / $50.99 / $56.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $127.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $113.28 / $1,834.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.94 / $490.00 / $490.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $116.00 / $116.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.73 / $28.73 / $71.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $116.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,417.80 / $1,668.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.84 / $1,884.84 / $1,884.84