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North Dakota rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $149.40 / $180.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.10 / $176.72 / $191.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $144.00 / $244.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $201.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $201.60