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North Dakota rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.20 / $938.20 / $8,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,738.26 / $8,798.81 / $21,383.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.20 / $1,085.17 / $11,358.63
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,197.00 / $4,197.00 / $4,314.75