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North Dakota rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $33.11 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $23.99 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $42.66 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $26.92 / $45.71