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North Dakota rates for HCPCS A2005

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $323.59 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $251.19