go back

North Dakota rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.71 / $899.76 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.33 / $751.94 / $993.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.01 / $1,706.94 / $2,008.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.08 / $1,773.03 / $2,658.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.71 / $1,024.33 / $2,252.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.31 / $1,650.61 / $6,576.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.78 / $1,393.81 / $2,341.44