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North Dakota rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $66.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $66.81 / $72.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.66 / $105.66 / $121.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $66.62 / $82.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $82.89 / $122.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $66.34 / $74.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $65.88 / $84.55