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North Dakota rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.43 / $694.43 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.43 / $885.49 / $2,083.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $3,228.00 / $3,228.00