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North Dakota rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $81.20 / $87.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.24 / $996.24 / $1,145.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $82.38 / $101.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $120.06 / $276.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $89.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $624.34