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North Dakota rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $851.14 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,737.80 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $1,862.09