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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
$125.89 / $131.83 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $165.96 / $269.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $229.09 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,148.15 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $186.21 / $275.42