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North Dakota rates for HCPCS 15040

Harvest of skin for tissue cultured skin autograft, 100 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $257.04 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $263.03 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74