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North Dakota rates for HCPCS L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.38 / $111.38 / $111.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.38 / $126.86 / $126.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $169.23 / $173.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.50 / $177.26 / $222.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.65 / $118.49 / $705.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $76.37 / $121.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.24 / $76.37 / $151.46