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North Dakota rates for HCPCS 13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.43 / $404.53 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.16 / $340.22 / $491.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.57 / $629.70 / $912.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.87 / $737.05 / $1,233.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.43 / $425.73 / $751.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.78 / $742.11 / $2,948.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.77 / $614.50 / $873.10