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North Dakota rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $163.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.76 / $163.95 / $177.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.14 / $274.14 / $315.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.13 / $173.85 / $215.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.84 / $206.21 / $290.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $164.84 / $184.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $181.01