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North Dakota rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.52 / $847.04 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.02 / $783.47 / $861.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.69 / $1,679.32 / $1,975.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.54 / $1,771.59 / $2,630.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.52 / $975.91 / $2,101.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.20 / $1,553.89 / $6,301.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.21 / $1,492.36 / $2,206.98