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North Dakota rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.87 / $310.87 / $310.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.87 / $353.43 / $353.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.51 / $472.36 / $484.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.00 / $493.89 / $621.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.66 / $353.43 / $1,976.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.23 / $283.37 / $345.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $283.37 / $421.95