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North Dakota rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.47 / $37.06 / $37.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.34 / $15.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.32 / $35.45 / $39.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.37 / $29.37 / $33.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $40.53 / $50.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.47 / $19.80 / $29.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $10.03 / $17.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $8.84 / $17.59