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North Dakota rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.37 / $281.49 / $2,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.11 / $265.62 / $483.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00