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North Dakota rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,819.70 / $2,041.74