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North Dakota rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.09 / $682.36 / $6,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.55 / $637.51 / $721.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.51 / $1,349.08 / $1,604.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.00 / $1,384.84 / $2,053.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.09 / $776.41 / $1,133.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.84 / $1,472.74 / $4,073.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,291.99 / $6,291.99 / $6,291.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.84 / $1,314.50 / $1,786.84