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North Dakota rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.73 / $29.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $33.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $38.40 / $81.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $27.31 / $29.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $26.62 / $29.81