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North Dakota rates for HCPCS 15733

Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.33 / $1,038.33 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.25 / $983.22 / $1,391.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.36 / $2,164.41 / $2,583.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.01 / $2,414.67 / $3,118.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.33 / $1,277.65 / $3,114.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.52 / $1,782.86 / $2,692.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.10 / $1,509.57 / $2,241.03