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North Dakota rates for HCPCS 67975

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.11 / $685.11 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.59 / $663.37 / $720.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.17 / $1,416.51 / $1,673.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.99 / $1,257.22 / $2,103.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.85 / $888.02 / $2,055.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.10 / $1,233.45 / $1,787.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.48 / $1,090.13 / $1,478.67