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North Dakota rates for HCPCS 40654

Repair lip, full thickness; over one-half vertical height, or complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.17 / $581.88 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.97 / $514.27 / $612.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.75 / $1,105.09 / $1,372.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.06 / $1,139.70 / $1,839.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.17 / $678.92 / $1,745.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.55 / $1,067.46 / $4,369.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.00 / $2,313.00 / $2,313.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.17 / $927.12 / $1,518.85