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North Dakota rates for HCPCS L3003

Foot Insert Removable Molded To Patient Model Silicone Gel Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.41 / $154.41 / $154.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.85 / $145.85 / $154.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.43 / $234.62 / $240.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.38 / $245.81 / $309.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.95 / $154.41 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.56 / $103.88 / $169.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $93.57 / $169.11