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North Dakota rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.68 / $527.38 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.98 / $423.48 / $527.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.13 / $525.36 / $618.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.30 / $477.60 / $727.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.81 / $527.38 / $832.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.34 / $944.19 / $2,839.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.00 / $271.00 / $271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.33 / $734.37 / $1,242.50