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North Dakota rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.68 / $1,391.68 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.19 / $1,342.40 / $1,391.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,697.77 / $2,973.53 / $3,486.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.09 / $3,386.57 / $4,510.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.68 / $1,946.13 / $2,652.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.62 / $2,586.33 / $3,624.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.62 / $2,553.04 / $3,003.66