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North Dakota rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.35 / $467.35 / $467.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.26 / $401.26 / $467.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.61 / $710.13 / $727.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.38 / $676.07 / $850.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.32 / $467.35 / $2,938.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.09 / $309.58 / $511.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.36 / $276.36 / $276.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $309.58 / $511.82