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North Dakota rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.01 / $1,435.44 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $1,077.49 / $1,479.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.47 / $110.62 / $2,848.97
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$128.21 / $165.93 / $4,273.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.56 / $135.02 / $3,251.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.01 / $1,090.00 / $2,617.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.37 / $2,590.63 / $3,784.90
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
$1,292.73 / $2,031.76 / $3,098.11