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North Dakota rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.12 / $671.88 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.12 / $914.98 / $1,440.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00