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North Dakota rates for HCPCS Q4111

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

Facilitymedian $7 · 10th–90th $7–$120%50%90th$7Professionalmedian $7 · 10th–90th $7–$100%50%90th$7$5.0$10.0$20.0$50.0$100.0$200.0

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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.41 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $14.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $125.89 / $239.88