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North Dakota rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.36 / $803.36 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.26 / $803.36 / $803.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.72 / $1,680.46 / $2,014.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.02 / $1,878.00 / $2,425.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.36 / $1,124.18 / $2,410.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.03 / $1,521.41 / $2,082.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,620.46 / $2,082.21