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North Dakota rates for HCPCS 95875

Ischemic Limb Xers Tst Spec Acquisj Metab

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.64 / $135.30 / $185.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.99 / $278.48 / $306.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.86 / $256.30 / $400.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.41 / $224.22 / $880.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.41 / $224.22 / $320.95