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North Dakota rates for HCPCS Q4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $579.07 / $579.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $600.79 / $723.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.76 / $710.63 / $769.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $579.07 / $984.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $810.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $786.13