go back

North Dakota rates for HCPCS 21179

Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,513.56 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,041.74 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,454.71 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,511.89 / $3,630.78