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North Dakota rates for HCPCS 21047

Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.03 / $1,285.03 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,221.08 / $1,285.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.19 / $2,648.04 / $3,104.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.30 / $2,987.41 / $3,979.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.03 / $1,699.94 / $2,184.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.29 / $2,364.61 / $3,339.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.29 / $2,364.61 / $3,292.86