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North Dakota rates for HCPCS 13122

Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.81 / $131.44 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $101.76 / $131.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.09 / $207.79 / $291.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.61 / $231.39 / $387.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.81 / $131.44 / $251.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $241.13 / $937.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.12 / $196.06 / $283.69