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North Dakota rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.09 / $1,981.09 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.75 / $1,978.40 / $2,335.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,231.17 / $4,654.50 / $5,457.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.92 / $4,796.72 / $6,389.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.09 / $2,379.32 / $3,420.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.76 / $3,679.09 / $5,063.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.23 / $3,634.31 / $4,784.47