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North Dakota rates for HCPCS 65130

Insertion of ocular implant secondary; after evisceration, in scleral shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $933.25 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,778.28 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,584.89 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,311.31 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $1,862.09