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North Dakota rates for HCPCS 73202

Ct Upper Extremity W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.92 / $42.92 / $97.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.24 / $247.65 / $349.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.92 / $55.50 / $95.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.88 / $632.26 / $647.01
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.78 / $137.94 / $144.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.64 / $65.64 / $65.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.22 / $480.86 / $709.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.92 / $106.02 / $146.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.20 / $537.20 / $537.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.19 / $557.82 / $2,077.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.88 / $116.49 / $394.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.19 / $518.74 / $861.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.44 / $112.80 / $152.86