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North Dakota rates for HCPCS 21188

Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.73 / $1,640.73 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.96 / $1,606.69 / $1,640.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,112.73 / $3,424.15 / $4,015.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.18 / $3,902.19 / $5,197.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.73 / $1,992.00 / $2,789.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.69 / $2,933.32 / $4,275.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.69 / $2,933.32 / $3,541.19