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North Dakota rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $153.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.95 / $133.80 / $144.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.15 / $241.15 / $277.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.16 / $137.52 / $170.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.86 / $178.71 / $242.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $142.86 / $160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $147.72