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North Dakota rates for HCPCS 21180

Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,698.24 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,715.35 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,162.28 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,818.38 / $17,782.79
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
$1,698.24 / $2,818.38 / $4,073.80