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North Dakota rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.56 / $401.34 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.12 / $337.46 / $403.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.53 / $664.59 / $908.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.40 / $749.56 / $1,025.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.56 / $449.75 / $793.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.47 / $717.35 / $1,916.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.47 / $638.42 / $797.06