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North Dakota rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.96 / $35.96 / $44.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $37.29 / $44.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.70 / $71.70 / $82.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $46.25 / $57.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $37.29 / $60.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $57.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $55.32