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North Dakota rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.20 / $61.20 / $77.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.88 / $102.72 / $104.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.75 / $85.60 / $107.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.20 / $77.26 / $92.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.11 / $37.02 / $482.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.54 / $29.11 / $73.06