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North Dakota rates for HCPCS 21087

Impression and custom preparation; nasal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.06 / $1,383.06 / $1,680.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.69 / $1,539.13 / $1,680.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,926.02 / $3,307.67 / $4,077.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.55 / $3,265.42 / $5,029.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.06 / $2,190.82 / $2,732.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.06 / $3,336.64 / $9,617.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.67 / $3,082.11 / $3,715.26