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North Dakota rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $794.33 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $776.25 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,513.56 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $1,819.70