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North Dakota rates for HCPCS 21263

Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.13 / $2,272.13 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.72 / $2,231.36 / $2,272.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,434.82 / $4,888.13 / $5,731.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,719.83 / $5,433.87 / $7,237.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,186.98 / $2,454.73 / $3,862.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.90 / $3,894.84 / $5,890.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.61 / $3,894.84 / $5,190.14