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North Dakota rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $741.31 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,621.81 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $1,778.28