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North Dakota rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.82 / $706.82 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.23 / $706.82 / $771.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.21 / $1,509.57 / $1,775.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.21 / $1,748.56 / $2,329.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.82 / $918.55 / $1,206.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.90 / $1,332.74 / $1,847.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.90 / $1,279.05 / $1,779.00