go back

North Dakota rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.14 / $97.14 / $185.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $121.43 / $121.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.31 / $106.62 / $108.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $16.50 / $20.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $97.14 / $291.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $109.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.01 / $101.19 / $126.08