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North Dakota rates for HCPCS 96004

Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.58 / $113.58 / $113.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.75 / $113.58 / $151.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.64 / $245.22 / $269.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.09 / $230.42 / $340.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.58 / $173.25 / $212.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $211.88 / $686.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $210.15 / $268.61