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North Dakota rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,943.28 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $1,737.80