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North Dakota rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.13 / $2,000.00 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.16 / $432.54 / $4,452.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.83 / $417.82 / $6,936.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.47 / $3,525.86 / $8,812.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.13 / $3,138.03 / $5,334.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,157.12 / $6,802.56 / $8,271.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,143.04 / $6,537.52 / $8,271.24