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North Dakota rates for HCPCS 65290

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.72 / $492.72 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.72 / $520.54 / $520.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.88 / $1,020.82 / $1,206.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.00 / $903.51 / $1,511.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.72 / $644.87 / $1,478.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.49 / $885.94 / $1,286.38
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
$451.49 / $787.50 / $1,163.03