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North Dakota rates for HCPCS Q4219

Surgigraft-Dual Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $996.00 / $1,200.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.85 / $953.70 / $1,032.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $1,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.99 / $788.99 / $883.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.99 / $788.99 / $856.88