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North Dakota rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $131.83 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $218.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $173.78