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North Dakota rates for HCPCS 25263

Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.54 / $626.54 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.79 / $638.61 / $656.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.43 / $1,416.24 / $1,660.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.22 / $1,576.41 / $2,099.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.54 / $911.58 / $1,202.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.07 / $1,155.79 / $1,623.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.47 / $1,161.95 / $1,623.48