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North Dakota rates for HCPCS 21151

Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.95 / $1,805.95 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.95 / $1,806.10 / $1,967.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,521.26 / $3,906.56 / $4,595.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.19 / $4,369.71 / $5,820.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.95 / $2,414.75 / $3,070.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.55 / $3,571.15 / $4,681.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.55 / $3,571.15 / $4,681.42