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North Dakota rates for HCPCS Q4138

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $99.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.48 / $99.52 / $107.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.29 / $149.29 / $171.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.04 / $98.11 / $120.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.40 / $147.16 / $240.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $100.40 / $112.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $106.55