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North Dakota rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.89 / $1,240.89 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.00 / $1,229.83 / $1,257.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,471.64 / $2,718.92 / $3,188.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.08 / $3,016.94 / $4,018.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.89 / $1,519.88 / $2,109.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.50 / $2,285.23 / $3,214.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.50 / $2,285.23 / $2,856.70