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North Dakota rates for HCPCS 28103

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $398.11 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $660.69 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $724.44 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $933.25