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North Dakota rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $61.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $53.51 / $57.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $77.98 / $89.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $53.29 / $65.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $48.85 / $94.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $48.85 / $54.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $59.08