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North Dakota rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.92 / $521.70 / $5,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.27 / $445.70 / $527.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.73 / $862.87 / $1,275.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.82 / $876.97 / $1,602.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.92 / $521.70 / $884.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.40 / $947.74 / $2,457.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.40 / $947.74 / $1,364.14