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North Dakota rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.74 / $1,014.74 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.74 / $1,048.01 / $1,145.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.00 / $2,268.30 / $2,659.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.67 / $2,564.61 / $3,416.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.74 / $1,267.99 / $1,770.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.69 / $1,993.33 / $2,638.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.11 / $1,935.64 / $2,638.29