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North Dakota rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.66 / $1,570.66 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.43 / $1,532.00 / $1,827.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,366.47 / $3,710.58 / $4,350.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.32 / $3,824.55 / $5,094.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.66 / $2,074.23 / $2,727.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.00 / $2,881.38 / $4,014.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.00 / $2,909.90 / $3,792.80