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North Dakota rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $129.66 / $129.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $134.52 / $162.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.91 / $280.91 / $323.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.36 / $181.16 / $224.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $134.52 / $220.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $181.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $181.53