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North Dakota rates for HCPCS 21743

Repair Pectus Excavatm/Carinatm Minly W/Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.36 / $1,568.36 / $9,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.57 / $1,560.70 / $1,579.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.00 / $4,624.57 / $6,159.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.36 / $2,207.44 / $2,648.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.92 / $1,838.64 / $4,055.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,667.00 / $8,667.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.63 / $1,958.34 / $3,634.80