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North Dakota rates for HCPCS L3221

Orthopedic Footwear Mens Shoe Depth Inlay Each Covered By Medicare. Statute Reference: 1862a8)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.10 / $82.10 / $88.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.54 / $82.10 / $92.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.45 / $223.99 / $229.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $99.61 / $125.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.54 / $82.10 / $460.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $65.16 / $97.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $75.69 / $97.74