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North Dakota rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.16 / $2,038.16 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.03 / $2,011.02 / $2,068.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,045.75 / $4,450.52 / $5,218.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,461.75 / $4,918.25 / $6,551.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.16 / $2,487.85 / $3,464.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.23 / $3,739.00 / $5,275.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.23 / $3,755.87 / $5,275.34