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North Dakota rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $321.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.77 / $322.58 / $349.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.52 / $594.52 / $683.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.66 / $318.00 / $348.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $445.20 / $588.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.51 / $318.00 / $356.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $356.16