go back

North Dakota rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.77 / $181.77 / $181.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $163.98 / $218.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.75 / $176.50 / $221.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.49 / $181.77 / $309.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.86 / $339.37 / $1,105.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.86 / $328.97 / $452.61