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North Dakota rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.30 / $842.30 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.60 / $840.54 / $855.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.64 / $1,848.78 / $2,167.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.54 / $2,054.90 / $2,737.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.30 / $1,063.89 / $1,431.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.59 / $1,562.33 / $2,182.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.59 / $1,545.20 / $1,937.30