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North Dakota rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.14 / $1,353.14 / $1,556.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.00 / $872.64 / $1,080.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00