go back

North Dakota rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $63.10 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $46.77 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.18 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.84 / $60.26