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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
$512.86 / $676.08 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,230.27 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,445.44