go back

North Dakota rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.17 / $24.17 / $39.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.85 / $196.00 / $307.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $416.94 / $458.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.53 / $310.20 / $439.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.74 / $382.46 / $1,203.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.74 / $330.85 / $445.85