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North Dakota rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.53 / $20.53 / $22.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $20.53 / $21.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $25.00 / $31.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $20.53 / $115.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $16.32 / $24.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $16.42 / $23.68