go back

North Dakota rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,184.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.41 / $1,189.42 / $1,288.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.60 / $1,657.60 / $1,906.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.40 / $1,172.56 / $1,323.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.56 / $1,165.39 / $2,110.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.39 / $1,165.39 / $1,305.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,273.46