go back

North Dakota rates for HCPCS L3255

Nonstandard size or length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $52.48