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North Dakota rates for HCPCS 0699T

Injection Posterior Chamber Eye Medication

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $106.93 / $106.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.88 / $129.84 / $163.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $128.96 / $227.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.76 / $203.20 / $244.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.18 / $207.78 / $296.14