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North Dakota rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.65 / $594.65 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $594.65 / $969.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.33 / $1,262.85 / $1,492.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.00 / $1,118.51 / $1,871.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.65 / $854.42 / $1,783.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.04 / $1,046.81 / $1,553.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.04 / $940.71 / $1,401.47