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North Dakota rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.02 / $780.02 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.42 / $766.13 / $780.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.11 / $1,678.80 / $1,968.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.88 / $1,871.77 / $2,493.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.02 / $938.45 / $1,332.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.10 / $1,413.84 / $2,023.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.61 / $1,272.46 / $1,788.82