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North Dakota rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $1,152.00 / $1,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,195.20 / $1,440.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.33 / $1,178.09 / $1,275.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.72 / $616.72 / $709.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.79 / $492.23 / $1,224.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.49 / $1,152.00 / $1,958.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,344.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,631.52