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North Dakota rates for HCPCS 0613T

Perq Tcat Impltj Intratrl Septal Shunt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.35 / $810.35 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.35 / $810.35 / $1,120.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.35 / $1,377.60 / $2,431.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.74 / $2,262.19 / $3,114.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.62 / $2,296.94 / $3,114.88