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North Dakota rates for HCPCS 21400

Closed treatment of fracture of orbit, except blowout; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $204.17 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $416.87 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $263.03 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $363.08 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,819.70 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $316.23 / $478.63