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North Dakota rates for HCPCS 15130

Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.04 / $719.99 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.93 / $594.04 / $719.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.41 / $1,426.17 / $1,677.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.99 / $1,469.23 / $2,219.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.04 / $783.75 / $1,782.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.54 / $1,185.60 / $4,406.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.96 / $1,119.74 / $1,874.22