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North Dakota rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.88 / $132.84 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.88 / $141.87 / $201.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.71 / $291.86 / $344.84
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$355.07 / $417.72 / $517.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.02 / $294.06 / $387.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.88 / $194.57 / $233.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $243.69 / $1,415.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $232.47 / $286.70