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North Dakota rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.35 / $278.35 / $278.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $203.06 / $278.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.73 / $422.96 / $433.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $443.14 / $557.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.17 / $278.35 / $1,762.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.41 / $190.87 / $374.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $187.26 / $304.83