go back

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
$766.98 / $766.98 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.78 / $766.98 / $822.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.21 / $1,741.73 / $2,042.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.25 / $1,938.44 / $2,582.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.98 / $1,004.58 / $1,346.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.41 / $1,474.89 / $1,991.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.41 / $1,407.88 / $1,787.32