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North Dakota rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.02 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.62 / $22.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $16.22 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $8.71 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $10.00 / $16.98