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North Dakota rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.86 / $2,426.62 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.86 / $702.26 / $2,426.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.91 / $1,122.06 / $4,702.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.77 / $1,384.00 / $5,369.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.86 / $2,426.62 / $4,505.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.31 / $3,841.06 / $6,390.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,640.00 / $4,640.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.82 / $3,414.27 / $5,643.54