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North Dakota rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.71 / $0.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.67 / $0.83