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North Dakota rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.25 / $908.25 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.25 / $1,166.02 / $2,724.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $3,228.00 / $3,228.00