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North Dakota rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $977.24 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,862.09 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,659.59 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,311.31 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $1,995.26