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North Dakota rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $139.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.38 / $139.91 / $151.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.67 / $246.67 / $283.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $137.93 / $163.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.60 / $152.04 / $248.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $108.60 / $128.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $154.47