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North Dakota rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.55 / $1,354.55 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.50 / $1,352.06 / $1,393.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.05 / $2,897.58 / $3,397.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.85 / $3,302.18 / $4,398.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.55 / $1,897.07 / $2,653.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.01 / $2,447.88 / $3,528.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.01 / $2,458.63 / $3,528.53