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North Dakota rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.63 / $1,700.63 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.95 / $1,675.73 / $1,726.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,357.94 / $3,701.17 / $4,339.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.26 / $4,086.16 / $5,442.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.63 / $2,193.73 / $2,891.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.27 / $3,111.26 / $4,400.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.19 / $2,800.13 / $3,767.08