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North Dakota rates for HCPCS 65757

Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.04 / $125.04 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.04 / $131.59 / $131.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.43 / $146.52 / $222.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.04 / $165.72 / $270.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.93 / $215.18 / $311.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.00 / $271.00 / $271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.14 / $186.49 / $286.89