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North Dakota rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $12.63 / $13.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $12.92 / $14.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $18.91 / $19.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $18.55 / $23.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.78 / $12.63 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $10.02 / $15.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $8.66 / $15.04