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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
$151.36 / $151.36 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $169.82 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $229.09