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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
$795.80 / $795.80 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.80 / $928.27 / $928.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.64 / $1,791.86 / $2,117.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.69 / $1,585.08 / $2,651.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.80 / $1,018.51 / $2,387.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.59 / $1,318.72 / $2,082.00
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
$726.59 / $1,318.72 / $1,871.69