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North Dakota rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $352.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.74 / $354.04 / $383.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.13 / $548.13 / $630.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.31 / $370.99 / $459.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.55 / $445.58 / $628.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.55 / $356.55 / $399.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $390.90