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North Dakota rates for HCPCS 21127

Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,691.53 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,630.27 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,585.78 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,344.23 / $8,912.51