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North Dakota rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.35 / $2,278.35 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.35 / $2,860.26 / $4,112.60