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North Dakota rates for HCPCS L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.55 / $108.55 / $108.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $102.53 / $108.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.51 / $164.95 / $169.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $172.71 / $217.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.25 / $118.05 / $688.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.44 / $76.91 / $156.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $76.91 / $166.01