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North Dakota rates for HCPCS 15121

Split Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea 1 %

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.50 / $211.09 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.50 / $226.95 / $486.07