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North Dakota rates for HCPCS 65782

Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.26 / $1,152.26 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.37 / $1,152.26 / $1,825.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.80 / $2,384.00 / $2,816.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.27 / $2,193.80 / $3,541.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.26 / $1,458.67 / $3,456.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.52 / $2,074.75 / $3,007.74
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
$1,056.27 / $1,844.22 / $2,720.94