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North Dakota rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.83 / $788.83 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.23 / $788.83 / $819.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.46 / $1,770.66 / $2,076.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.54 / $1,957.85 / $2,607.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.83 / $1,025.79 / $1,362.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $1,464.66 / $2,041.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,859.81 / $13,859.81 / $13,859.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $1,467.29 / $1,823.76