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North Dakota rates for HCPCS L8002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.50 / $146.50 / $146.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.50 / $166.82 / $166.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.28 / $222.61 / $228.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.00 / $233.31 / $293.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.67 / $155.86 / $927.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $100.46 / $160.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $133.15 / $199.17