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North Dakota rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.73 / $2,458.73 / $2,525.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.66 / $68.23 / $73.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $4.70 / $5.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $67.27 / $81.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $82.89 / $121.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.62 / $66.31 / $74.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $73.06