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North Dakota rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.85 / $97.85 / $97.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $76.34 / $97.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.85 / $166.35 / $2,267.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,611.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,611.30