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North Dakota rates for HCPCS 21123

Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.68 / $888.68 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.42 / $867.13 / $910.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.17 / $1,832.87 / $2,149.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.08 / $2,097.94 / $2,794.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.68 / $1,049.60 / $1,510.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.01 / $1,627.63 / $2,318.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.01 / $1,627.63 / $1,997.62