go back

North Dakota rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.49 / $1,649.49 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,588.66 / $1,678.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,196.23 / $3,516.01 / $4,122.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.91 / $3,997.55 / $5,324.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.49 / $1,965.45 / $2,804.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.24 / $2,988.27 / $4,294.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.24 / $2,988.27 / $3,722.93