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North Dakota rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,388.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,888.44 / $14,125.38