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North Dakota rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.78 / $1,334.78 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.78 / $1,404.97 / $1,404.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,530.98 / $2,759.36 / $3,260.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.09 / $2,538.19 / $4,097.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.78 / $1,693.89 / $4,004.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.99 / $2,403.54 / $3,483.88
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
$1,223.55 / $2,134.00 / $3,151.86