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North Dakota rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.78 / $1,615.78 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.74 / $1,600.49 / $1,615.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,121.92 / $3,434.27 / $4,026.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.87 / $3,905.57 / $5,202.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.78 / $2,173.52 / $2,746.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.60 / $2,899.89 / $4,206.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.60 / $2,872.04 / $3,658.77