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North Dakota rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $524.81 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $275.42 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $257.04 / $1,258.93