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North Dakota rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.60 / $1,339.60 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.60 / $1,412.82 / $1,642.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.50 / $2,759.36 / $3,260.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.35 / $2,440.67 / $4,083.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.60 / $2,245.10 / $4,505.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.66 / $2,415.04 / $3,494.52
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
$1,475.86 / $2,415.04 / $3,166.91