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North Dakota rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $34.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $34.40 / $37.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.15 / $54.15 / $62.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $34.92 / $43.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $42.45 / $61.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $37.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $36.84