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North Dakota rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.33 / $634.33 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.33 / $773.23 / $1,902.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00