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North Dakota rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.85 / $4,213.79 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $3,283.12 / $4,349.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.98 / $2,150.31 / $10,077.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.38 / $2,603.30 / $12,829.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.85 / $1,392.05 / $7,081.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,233.31 / $7,680.22 / $15,044.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,233.31 / $7,567.44 / $11,088.88