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North Dakota rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.35 / $829.35 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.35 / $1,048.83 / $2,488.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $3,228.00 / $3,228.00