go back

North Dakota rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $812.83 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $5,888.44