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North Dakota rates for HCPCS 92012

Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $89.31 / $121.50
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$64.63 / $266.89 / $266.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $125.52 / $223.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $84.09 / $188.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.62 / $80.48 / $152.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $130.85 / $329.60
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$100.00 / $100.00 / $145.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $111.10 / $183.63