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North Dakota rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.78 / $1,045.78 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.34 / $1,017.27 / $1,096.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.96 / $2,297.94 / $2,694.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.55 / $2,522.42 / $3,359.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.78 / $1,284.56 / $1,777.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.57 / $1,950.31 / $2,705.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.57 / $1,918.48 / $2,416.85