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North Dakota rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.79 / $3,307.01 / $6,693.73
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,952.77 / $3,562.46 / $7,134.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.55 / $403.00 / $612.01
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$272.73 / $279.39 / $2,421.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.39 / $714.46 / $1,099.17
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$569.09 / $807.45 / $1,641.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.74 / $621.78 / $1,164.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.39 / $419.71 / $758.75
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,389.26 / $4,450.22 / $7,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.04 / $782.01 / $1,659.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.22 / $769.96 / $937.68