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North Dakota rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.24 / $1,641.24 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.09 / $1,643.07 / $1,660.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,179.02 / $3,549.72 / $4,176.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.93 / $3,975.61 / $5,295.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.24 / $1,992.21 / $2,790.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.04 / $3,112.02 / $4,255.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.04 / $3,021.46 / $3,755.49