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North Dakota rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,441.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.28 / $1,447.99 / $1,568.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.56 / $2,452.56 / $2,820.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.08 / $1,709.00 / $2,115.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.73 / $1,713.55 / $2,569.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $1,535.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,926.61