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North Dakota rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.00 / $114.00 / $122.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $114.00 / $116.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.36 / $388.24 / $397.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $138.24 / $173.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.64 / $114.00 / $638.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.78 / $90.48 / $135.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $91.20 / $131.50