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North Dakota rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $29.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.59 / $407.59 / $468.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.88 / $291.08 / $295.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $50.56