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North Dakota rates for HCPCS 21141

Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $6,165.95 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,570.40 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,398.83 / $3,162.28