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North Dakota rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.10 / $208.10 / $223.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.12 / $208.10 / $212.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.63 / $405.64 / $510.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.62 / $208.10 / $1,166.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.26 / $165.17 / $247.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.74 / $191.85 / $247.75