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North Dakota rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.10 / $795.84 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.95 / $690.04 / $989.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.21 / $1,615.53 / $1,900.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.65 / $1,650.59 / $2,124.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.10 / $921.84 / $1,926.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.65 / $1,459.97 / $6,000.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.02 / $1,279.35 / $2,069.98