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North Dakota rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $89.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $52.48 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $30.20 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $30.90 / $66.07