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North Dakota rates for HCPCS 21184

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 80 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,483.61 / $2,483.61 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.03 / $2,431.48 / $2,518.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,896.59 / $5,386.49 / $6,315.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,967.78 / $5,929.24 / $7,897.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,483.61 / $3,325.10 / $4,222.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.00 / $4,618.53 / $6,422.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.00 / $4,556.18 / $6,422.52