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North Dakota rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.17 / $1,192.17 / $9,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.52 / $1,186.06 / $1,237.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.07 / $2,451.53 / $3,265.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.17 / $1,684.38 / $2,021.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.85 / $1,987.52 / $2,386.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.92 / $1,987.52 / $2,363.55