go back

North Dakota rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.00 / $1,296.00 / $1,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $1,344.60 / $1,620.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.26 / $1,325.36 / $1,435.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.00 / $1,728.51 / $2,551.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,512.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,466.17