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North Dakota rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $575.44 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $302.00 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $741.31