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North Dakota rates for HCPCS 65140

Insertion of ocular implant secondary; after enucleation, muscles attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.20 / $871.20 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.20 / $1,007.82 / $1,007.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.11 / $1,947.61 / $2,301.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.50 / $1,723.79 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.20 / $1,108.68 / $2,613.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.45 / $1,454.90 / $2,278.96
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
$795.45 / $1,454.90 / $2,049.07