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North Dakota rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $124.50 / $150.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.98 / $119.21 / $129.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $135.00 / $204.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $168.00