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North Dakota rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.45 / $463.07 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.45 / $463.07 / $497.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.62 / $748.83 / $1,036.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.16 / $715.58 / $1,137.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.45 / $498.87 / $915.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.59 / $816.16 / $2,197.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.72 / $701.58 / $999.44