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North Dakota rates for HCPCS 50715

Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.40 / $1,192.40 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.40 / $1,606.10 / $3,577.20