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North Dakota rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.85 / $503.20 / $2,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.54 / $453.20 / $503.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.23 / $921.85 / $1,153.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.71 / $960.33 / $1,465.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.85 / $561.00 / $808.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.75 / $948.87 / $3,085.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.75 / $896.16 / $1,086.06