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North Dakota rates for HCPCS Q4186

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $190.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.32 / $153.34 / $166.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.89 / $252.89 / $290.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.33 / $162.94 / $201.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.82 / $188.01 / $272.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $168.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $169.31