go back

North Dakota rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

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