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North Dakota rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $92.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.55 / $92.85 / $100.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.54 / $104.54 / $120.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.86 / $87.33 / $91.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $84.50 / $164.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $67.72 / $75.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $99.42