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North Dakota rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $117.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.73 / $103.18 / $111.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.67 / $171.67 / $197.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.10 / $105.14 / $130.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.72 / $125.75 / $183.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $100.72 / $112.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $113.93