go back

North Dakota rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.19 / $2,155.19 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.02 / $2,152.62 / $2,184.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,247.14 / $4,681.26 / $5,489.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.45 / $5,212.77 / $6,943.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.19 / $3,272.51 / $3,663.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,295.59 / $3,953.70 / $5,584.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.77 / $3,953.70 / $5,304.57