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North Dakota rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.46 / $83.46 / $192.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.78 / $335.52 / $444.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.46 / $111.49 / $258.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.32 / $227.00 / $292.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.01 / $798.44 / $836.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$221.59 / $273.45 / $285.81
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$425.42 / $524.99 / $550.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.94 / $128.94 / $128.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.36 / $642.50 / $960.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.95 / $199.42 / $293.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.89 / $432.19 / $639.95
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,056.00 / $1,056.00 / $1,056.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.90 / $806.13 / $2,091.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.05 / $226.77 / $711.82
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.94 / $548.87 / $1,773.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.46 / $763.70 / $913.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.14 / $218.36 / $297.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$293.63 / $539.03 / $860.22