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North Dakota rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.29 / $596.29 / $596.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.29 / $672.40 / $672.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.31 / $906.05 / $928.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.00 / $1,133.22 / $1,424.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.04 / $672.40 / $4,031.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.52 / $408.88 / $653.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.33 / $402.32 / $741.82