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North Dakota rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.01 / $479.01 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.81 / $458.38 / $646.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.67 / $1,015.90 / $1,200.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.61 / $1,134.64 / $1,465.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.01 / $589.92 / $814.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.20 / $825.33 / $1,241.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.20 / $831.11 / $1,241.73