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North Dakota rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.59 / $1,624.59 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.90 / $1,601.85 / $1,624.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,166.32 / $3,489.97 / $4,092.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.07 / $3,897.97 / $5,192.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.59 / $1,950.90 / $2,761.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.24 / $2,951.62 / $4,216.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.24 / $2,951.62 / $3,722.93