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North Dakota rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.85 / $32.85 / $32.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $32.85 / $42.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.23 / $49.93 / $51.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $59.84 / $75.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $41.64 / $230.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $32.79 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $22.52 / $36.44