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North Dakota rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $125.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.64 / $125.58 / $135.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.79 / $206.79 / $237.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $132.15 / $163.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.06 / $185.70 / $233.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.06 / $126.06 / $141.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $134.44