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North Dakota rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $144.54 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $239.88 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $295.12