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North Dakota rates for HCPCS Q4165

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

Facilitymedian $45 · 10th–90th $42–$720%20%40%10th90th$45Professionalmedian $44 · 10th–90th $39–$520%20%40%10th90th$44$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $181.97
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $125.89 / $239.88