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North Dakota rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $1,659.59