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North Dakota rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.92 / $1,437.92 / $1,670.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.98 / $2,221.61 / $2,250.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.13 / $2,010.03 / $2,527.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.92 / $1,670.95 / $2,009.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.97 / $800.61 / $10,207.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.12 / $683.92 / $1,601.21