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North Dakota rates for HCPCS 21183

Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,238.72 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,011.87 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,265.80 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,073.80 / $21,379.62
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
$2,398.83 / $4,073.80 / $5,623.41