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North Dakota rates for HCPCS 67229

Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.48 / $1,166.48 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,166.48 / $1,223.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.59 / $2,405.05 / $2,841.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.92 / $2,127.94 / $3,560.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.48 / $1,383.63 / $2,483.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.24 / $2,101.14 / $3,043.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.00 / $1,181.00 / $1,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.15 / $2,019.48 / $2,517.61