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North Dakota rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.83 / $1,736.83 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.21 / $1,709.57 / $1,763.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,440.83 / $3,785.08 / $4,438.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.46 / $4,176.46 / $5,563.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.83 / $2,270.75 / $2,952.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.89 / $3,193.64 / $4,493.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.89 / $3,108.46 / $4,010.36