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North Dakota rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.87 / $305.87 / $404.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.25 / $538.27 / $545.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.38 / $427.61 / $537.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.87 / $404.84 / $481.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.47 / $193.98 / $2,424.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $151.82 / $482.02