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North Dakota rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.53 / $663.53 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.94 / $649.79 / $909.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.33 / $1,424.93 / $1,703.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.66 / $1,607.61 / $2,075.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.53 / $827.26 / $1,128.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.41 / $1,196.95 / $5,004.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.97 / $1,047.91 / $1,432.10