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North Dakota rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.11 / $143.11 / $143.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $135.19 / $143.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.91 / $217.45 / $222.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.75 / $228.01 / $286.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.78 / $143.11 / $906.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $98.13 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $137.54 / $206.31