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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
$1,077.07 / $1,077.07 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.07 / $1,094.99 / $1,160.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.26 / $2,385.46 / $2,797.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.25 / $2,661.66 / $3,545.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.07 / $1,494.13 / $1,849.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.54 / $2,130.46 / $2,791.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.30 / $2,037.03 / $2,466.86