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North Dakota rates for HCPCS 67115

Release of encircling material (posterior segment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $537.03 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $933.25 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $912.01 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $1,174.90