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North Dakota rates for HCPCS Q4101

Apligraf, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $30 · 10th–90th $30–$510%50%90th$30Professionalmedian $31 · 10th–90th $30–$520%50%10th90th$31$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.90 / $54.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $125.89 / $239.88