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North Dakota rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.63 / $36.63 / $55.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.73 / $79.14 / $123.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.83 / $33.15 / $43.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.71 / $49.35 / $78.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.47 / $180.95 / $189.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.12 / $77.90 / $81.42
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$293.26 / $361.90 / $379.52
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.51 / $103.05 / $108.07
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.24 / $36.24 / $36.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $142.72 / $199.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.95 / $60.90 / $84.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.57 / $81.83 / $114.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.41 / $178.32 / $583.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.81 / $65.29 / $335.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.59 / $110.30 / $353.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $166.31 / $254.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.81 / $62.27 / $84.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.55 / $105.94 / $142.19