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North Dakota rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.84 / $1,470.86 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.35 / $1,399.25 / $1,470.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.67 / $2,927.30 / $3,612.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.85 / $2,944.37 / $4,552.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.84 / $1,704.11 / $3,626.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.54 / $2,750.98 / $3,825.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.37 / $2,930.08 / $3,825.38