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North Dakota rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.15 / $174.71 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.47 / $144.03 / $193.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.26 / $323.61 / $408.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $318.25 / $515.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.15 / $174.71 / $384.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.73 / $318.87 / $1,249.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.11 / $301.16 / $455.00