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North Dakota rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.71 / $41.71 / $41.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $39.40 / $41.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.61 / $63.39 / $64.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $66.28 / $83.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $41.71 / $264.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.84 / $28.60 / $58.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $28.06 / $45.68