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North Dakota rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,733.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.66 / $1,515.91 / $1,641.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,527.21 / $2,527.21 / $2,906.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.54 / $1,537.76 / $1,903.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $1,789.00 / $2,689.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.35 / $1,542.24 / $1,727.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,648.63