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North Dakota rates for HCPCS 28122

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,890.45 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,096.48 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $891.25 / $1,288.25