go back

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
$736.22 / $881.66 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.84 / $855.94 / $991.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.91 / $1,755.59 / $2,065.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.85 / $1,800.88 / $2,398.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.22 / $991.57 / $2,208.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.07 / $1,617.41 / $6,525.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.61 / $1,388.59 / $1,902.89