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North Dakota rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.95 / $710.52 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.95 / $626.51 / $755.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.59 / $1,244.19 / $1,586.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.49 / $1,117.31 / $1,812.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.95 / $810.37 / $1,391.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.20 / $1,271.48 / $3,688.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $1,123.00 / $1,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.66 / $1,129.67 / $1,668.39