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North Dakota rates for HCPCS A4100

Nonsheet form skin substitute, FDA-cleared as a device, not otherwise specified (list in addition to primary procedure)

Facilitymedian $112 · 10th–90th $87–$1120%50%10th$112Professionalmedian $87 · 10th–90th $65–$1260%10%20%10th90th$87$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $186.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.13 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $245.47 / $398.11