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North Dakota rates for HCPCS 65114

Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.50 / $1,541.50 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.50 / $1,694.99 / $1,694.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,007.73 / $3,300.28 / $3,899.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.84 / $2,919.85 / $4,885.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.50 / $2,153.10 / $3,422.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.61 / $2,665.19 / $4,026.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $3,228.00 / $3,228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.93 / $2,776.16 / $4,026.02