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North Dakota rates for HCPCS 21435

Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.21 / $1,405.21 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.32 / $1,394.94 / $1,428.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.97 / $3,082.03 / $3,613.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.88 / $3,416.11 / $4,550.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.21 / $1,722.85 / $2,388.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.37 / $2,519.10 / $3,639.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.37 / $2,519.10 / $3,272.46