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North Dakota rates for HCPCS 21010

Arthrotomy Temporomandibular Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.61 / $756.61 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.52 / $754.82 / $756.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.51 / $1,620.94 / $1,900.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.21 / $1,846.45 / $2,459.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.61 / $906.11 / $1,291.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.57 / $1,367.74 / $1,970.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.57 / $1,367.74 / $1,706.25