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North Dakota rates for HCPCS 21145

Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,311.31 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,951.21 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,884.03 / $13,803.84
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
$1,584.89 / $2,818.38 / $3,715.35