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North Dakota rates for HCPCS Q4124

OASIS ultra tri-layer wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $2 · 10th–90th $2$40%50%90th$2Professionalmedian $2 · 10th–90th $2$30%50%90th$2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.34
Typical High
$2.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.48
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$3.47
Typical High
$7.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$9.12
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$125.89
Typical High
$239.88