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North Dakota rates for HCPCS 21193

Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.95 / $1,258.95 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.08 / $1,210.08 / $1,258.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.16 / $2,677.70 / $3,139.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.44 / $3,045.64 / $4,056.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.95 / $1,601.62 / $2,140.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.29 / $2,260.05 / $3,277.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.29 / $2,284.48 / $2,717.19