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North Dakota rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.34 / $1,088.34 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.64 / $1,071.49 / $1,182.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.76 / $2,350.76 / $2,756.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.16 / $2,635.50 / $3,510.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.34 / $1,341.68 / $1,850.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.24 / $2,006.95 / $2,825.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.24 / $1,998.75 / $2,484.33