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North Dakota rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.50 / $642.50 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $766.38 / $766.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.55 / $1,472.63 / $1,739.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.11 / $1,301.34 / $2,177.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.50 / $945.43 / $1,927.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.28 / $1,043.15 / $1,681.58
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
$586.28 / $977.13 / $1,510.25