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North Dakota rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.63 / $709.63 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.74 / $709.63 / $747.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.30 / $1,615.88 / $1,894.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.56 / $1,799.19 / $2,396.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.63 / $910.96 / $1,248.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.08 / $1,301.82 / $1,839.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.08 / $1,315.25 / $1,982.91