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North Dakota rates for HCPCS 0253T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $933.25 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,258.93 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,659.59 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,041.74 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,584.89 / $2,290.87