go back

North Dakota rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.05 / $965.05 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.05 / $1,476.58 / $2,895.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,640.00 / $4,640.00 / $4,640.00