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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
$722.20 / $722.20 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.54 / $722.20 / $750.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.80 / $1,624.56 / $1,904.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.39 / $1,800.88 / $2,398.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.20 / $995.39 / $1,252.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.88 / $1,342.99 / $1,869.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,667.00 / $8,667.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.88 / $1,324.88 / $1,667.34