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North Dakota rates for HCPCS 21422

Open Treatment Palatal/Maxillary Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.85 / $644.85 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.82 / $636.35 / $679.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.47 / $1,386.58 / $1,625.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.28 / $1,562.90 / $2,081.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.85 / $1,019.74 / $1,184.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.85 / $1,218.44 / $1,677.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.85 / $1,150.75 / $1,464.13