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North Dakota rates for HCPCS A2002

Mirragen Advanced Wound Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $263.03 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $346.74 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $229.09