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North Dakota rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.41 / $1,285.41 / $8,500.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$642.71 / $642.71 / $642.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.67 / $1,199.25 / $1,702.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,452.51 / $2,665.34 / $3,173.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.82 / $2,937.48 / $3,793.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.41 / $1,671.03 / $2,317.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.83 / $2,482.42 / $9,294.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.83 / $1,985.41 / $3,087.45