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North Dakota rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $11.68 / $12.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.93 / $13.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $24.24 / $24.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.88 / $16.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $11.68 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $9.61 / $13.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $9.35 / $13.35