go back

North Dakota rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,153.41 / $1,202.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.90 / $2,513.51 / $2,947.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.57 / $2,832.13 / $3,772.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.95 / $2,165.71 / $3,118.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.95 / $2,165.71 / $2,754.29