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North Dakota rates for HCPCS Q4151

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $156.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.64 / $136.83 / $148.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.41 / $223.41 / $256.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.05 / $140.44 / $173.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.19 / $171.44 / $242.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $137.19 / $153.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $146.50