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North Dakota rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.01 / $114.01 / $189.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $114.01 / $114.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.02 / $253.73 / $278.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.87 / $209.34 / $319.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.01 / $159.66 / $296.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.41 / $270.41 / $1,031.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.02 / $228.02 / $288.02