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North Dakota rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.00 / $718.00 / $897.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $744.93 / $897.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.12 / $713.29 / $772.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.41 / $1,294.41 / $1,488.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $834.77 / $1,033.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.00 / $744.93 / $1,213.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,237.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,636.70