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North Dakota rates for HCPCS Q4108

Integra Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $39.10 / $42.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $74.81 / $86.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.09 / $51.93 / $64.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.61 / $49.12 / $83.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $49.12 / $55.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $38.54 / $43.16