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North Dakota rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Facilitymedian $78 · 10th–90th $55–$1020%20%40%10th90th$78Professionalmedian $60 · 10th–90th $37–$790%20%10th90th$60$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $58.88 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $102.33 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $89.13 / $107.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $77.62 / $102.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $81.28