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North Dakota rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.57 / $868.57 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.89 / $861.85 / $868.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.95 / $1,850.22 / $2,169.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.47 / $2,104.69 / $2,803.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.57 / $1,428.93 / $1,476.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.69 / $1,577.54 / $2,261.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.69 / $1,576.52 / $1,959.52