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North Dakota rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $51.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.73 / $51.44 / $55.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $85.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $56.21 / $69.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $72.66 / $109.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $45.41 / $54.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $55.08