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North Dakota rates for HCPCS 25115

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Flxrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.66 / $3,649.91 / $6,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.66 / $1,156.00 / $1,305.79