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North Dakota rates for HCPCS 21122

Genioplasty 2/> Sliding Osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.77 / $770.77 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.87 / $756.04 / $770.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.25 / $1,627.80 / $1,915.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.99 / $1,838.01 / $2,448.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.77 / $879.02 / $1,310.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.24 / $1,325.40 / $2,004.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.92 / $1,325.40 / $2,004.32