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North Dakota rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.79 / $1,033.79 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.95 / $1,033.79 / $1,033.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.39 / $2,222.98 / $2,664.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.00 / $2,392.63 / $3,089.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.79 / $1,241.74 / $3,101.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.30 / $1,932.88 / $2,662.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.88 / $2,267.19 / $2,724.30