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North Dakota rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.99 / $640.58 / $5,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.68 / $541.40 / $725.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.57 / $1,501.47 / $1,891.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.24 / $1,568.48 / $2,389.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.99 / $640.58 / $1,318.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.09 / $1,174.80 / $4,505.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.09 / $1,174.80 / $1,681.56