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North Dakota rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.16 / $677.10 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.73 / $591.59 / $684.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.33 / $1,299.31 / $1,652.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.79 / $1,319.68 / $2,096.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.16 / $699.00 / $1,138.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.64 / $1,208.61 / $4,660.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.64 / $1,208.61 / $1,526.01