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North Dakota rates for HCPCS 65930

Removal of blood clot, anterior segment of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.05 / $642.05 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.05 / $907.37 / $1,926.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00