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North Dakota rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.57 / $1,001.57 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.61 / $933.61 / $1,670.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.68 / $2,106.17 / $2,524.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.19 / $2,355.05 / $3,041.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.57 / $1,225.94 / $1,702.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.40 / $1,698.31 / $7,507.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.33 / $1,548.90 / $2,594.27