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North Dakota rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.61 / $153.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.83 / $125.79 / $136.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.31 / $123.00 / $209.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $128.13 / $143.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $143.51