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North Dakota rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.70 / $692.70 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.40 / $692.70 / $730.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.44 / $1,571.56 / $1,848.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.44 / $1,757.00 / $2,340.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.70 / $912.44 / $1,218.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.04 / $1,270.76 / $1,795.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.04 / $1,270.76 / $1,674.24