go back

North Dakota rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,096.48 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $10,232.93
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
$1,148.15 / $2,041.74 / $2,570.40