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North Dakota rates for HCPCS 21256

Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,202.26 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,691.53 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,344.23 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,513.56 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,187.76 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,187.76 / $3,019.95