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North Dakota rates for HCPCS Q4235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $88.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $89.25 / $96.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.59 / $217.59 / $250.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.71 / $97.68 / $120.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.48 / $112.67 / $158.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $80.48 / $94.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $95.55