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North Dakota rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $90.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.94 / $91.04 / $98.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $108.00 / $124.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $89.75 / $91.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $103.10 / $161.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $82.41 / $92.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $97.47