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North Dakota rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.33 / $669.33 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.33 / $767.22 / $955.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.60 / $1,235.50 / $1,459.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.20 / $1,142.97 / $1,844.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.33 / $1,010.43 / $2,007.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.54 / $1,203.60 / $1,749.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,468.00 / $7,468.00 / $7,468.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.54 / $1,064.90 / $1,576.35