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North Dakota rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.58 / $306.48 / $8,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$211.19 / $211.19 / $229.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.43 / $277.22 / $330.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.74 / $683.48 / $806.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.77 / $742.63 / $989.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.58 / $386.49 / $557.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.14 / $568.26 / $2,186.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.14 / $559.57 / $695.51