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North Dakota rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.51 / $1,013.33 / $2,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.51 / $1,054.17 / $1,526.33