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North Dakota rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.60 / $1,647.46 / $1,647.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.65 / $1,427.98 / $1,647.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.54 / $619.51 / $667.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.62 / $279.62 / $279.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.99 / $449.14 / $708.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.07 / $557.26 / $2,389.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.08 / $2,270.48 / $3,776.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.08 / $1,606.26 / $3,776.17