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North Dakota rates for HCPCS L3390

Outflare Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.96 / $43.96 / $43.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.52 / $41.52 / $43.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $66.80 / $68.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.38 / $70.06 / $88.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.71 / $43.96 / $278.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.07 / $29.56 / $48.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $29.56 / $48.14