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North Dakota rates for HCPCS L3020

Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $175.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $128.25 / $175.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.95 / $267.14 / $273.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.13 / $279.89 / $351.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.52 / $175.81 / $1,113.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.27 / $177.41 / $245.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.41 / $120.56 / $296.42