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North Dakota rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,089.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.35 / $2,098.23 / $2,272.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.91 / $280.91 / $323.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.36 / $224.20 / $2,068.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.57 / $2,775.74 / $3,752.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.57 / $2,220.57 / $2,770.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,246.46