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North Dakota rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.66 / $546.66 / $546.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.66 / $819.76 / $819.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.54 / $830.65 / $851.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.75 / $1,146.09 / $1,441.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.97 / $732.60 / $4,034.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.33 / $562.28 / $624.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.90 / $562.28 / $891.78