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North Dakota rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.81 / $686.81 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.81 / $1,053.47 / $2,060.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00