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North Dakota rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $141.25 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $93.33 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.10 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $63.10 / $134.90