go back

North Dakota rates for HCPCS L3254

Nonstandard size or width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.38 / $14.38 / $18.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.38 / $101.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $14.38 / $24.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90