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North Dakota rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $207.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.83 / $207.91 / $225.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.15 / $420.15 / $483.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.02 / $270.58 / $334.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $329.24 / $644.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.17 / $235.17 / $263.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $229.56