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North Dakota rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $81.28 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $177.83 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $194.98