go back

North Dakota rates for HCPCS A2009

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $61.66 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $83.18 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $134.90 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $141.25