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North Dakota rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.89 / $73.89 / $79.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.99 / $73.89 / $75.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.47 / $189.74 / $194.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $115.14 / $144.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.02 / $73.89 / $414.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $58.65 / $87.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $58.65 / $87.97