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North Dakota rates for HCPCS 21385

Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $891.25 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $1,778.28