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North Dakota rates for MS-DRG 495

Local excision and removal of internal fixation devices except hip and femur with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,321.30 / $45,321.30 / $45,321.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,707.02 / $79,013.07 / $128,179.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,289.54 / $26,830.18 / $62,220.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,289.54 / $26,830.18 / $63,464.25