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North Dakota rates for HCPCS Q4176

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.00 / $152.00 / $152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $157.69 / $190.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.19 / $164.46 / $178.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.94 / $185.94 / $213.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.73 / $148.41 / $161.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $152.00 / $258.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $187.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $181.92