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North Dakota rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.04 / $873.05 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.02 / $755.04 / $1,027.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.07 / $1,725.35 / $2,029.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.22 / $1,862.49 / $2,441.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.04 / $1,012.32 / $2,265.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.71 / $1,502.33 / $5,627.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.63 / $1,352.84 / $1,884.30