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North Dakota rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.76 / $1,239.22 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.76 / $285.85 / $1,267.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.14 / $294.77 / $2,551.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.84 / $793.37 / $2,921.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.76 / $1,239.22 / $2,519.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.69 / $2,189.17 / $3,263.95
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
$1,242.56 / $1,881.15 / $2,880.75