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North Dakota rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.60 / $385.57 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.61 / $348.38 / $437.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.76 / $733.62 / $988.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.19 / $750.02 / $1,165.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.60 / $488.47 / $823.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.44 / $730.10 / $4,954.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.44 / $700.18 / $1,006.03