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North Dakota rates for HCPCS 21245

Reconstruction of mandible or maxilla, subperiosteal implant; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.89 / $1,225.30 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.73 / $981.96 / $1,268.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.32 / $2,399.31 / $3,030.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.09 / $2,466.77 / $3,869.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.89 / $1,444.10 / $2,101.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.98 / $2,208.86 / $11,814.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.98 / $2,208.86 / $2,644.56