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North Dakota rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $520.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$340.43 / $340.43 / $404.95
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$311.50 / $373.80 / $756.50
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$183.18 / $1,221.08 / $1,323.00
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$505.73 / $635.91 / $695.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $50.00 / $2,700.00