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North Dakota rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,168.69 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $2,238.72 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $11,220.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,454.71 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $7,413.10 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,290.87 / $8,912.51