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North Dakota rates for HCPCS 0480T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.57 / $50.57 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.57 / $92.12 / $93.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.13 / $85.13 / $106.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.57 / $69.83 / $151.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.15 / $126.31 / $186.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $125.55 / $186.80