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North Dakota rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.45 / $113.45 / $183.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.07 / $113.45 / $125.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.09 / $258.02 / $270.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.42 / $120.42 / $120.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $204.85 / $310.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.45 / $183.74 / $287.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.37 / $207.23 / $1,186.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.37 / $197.98 / $303.07