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North Dakota rates for HCPCS 15958

Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.32 / $1,172.32 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.32 / $1,423.25 / $1,992.94