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North Dakota rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.69 / $1,108.69 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,086.10 / $1,108.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,165.23 / $2,381.86 / $2,792.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.49 / $2,648.16 / $3,527.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.69 / $1,331.46 / $1,884.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.75 / $2,013.73 / $2,874.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.75 / $2,033.89 / $2,547.05