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North Dakota rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.72 / $68.72 / $116.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $104.87 / $154.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $68.56 / $105.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $221.24 / $242.57
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.96 / $156.26 / $171.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.15 / $181.43 / $249.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.02 / $102.01 / $141.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $183.24 / $235.67
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.65 / $126.52 / $171.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $172.04 / $235.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.65 / $134.41 / $171.55