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North Dakota rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $924.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.22 / $928.25 / $1,005.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.57 / $896.57 / $1,031.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.26 / $630.33 / $915.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $815.94 / $1,647.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.94 / $652.66 / $730.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $993.83