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North Dakota rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.91 / $7,460.97 / $7,460.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.37 / $942.91 / $3,318.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.06 / $2,028.16 / $2,378.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.50 / $1,858.21 / $2,822.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.91 / $1,306.58 / $2,787.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.26 / $1,609.27 / $9,862.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.06 / $1,714.04 / $2,192.76