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North Dakota rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,253.04 / $3,253.04 / $3,253.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,253.04 / $3,704.48 / $3,704.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,180.63 / $4,942.97 / $5,065.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,127.38 / $5,178.64 / $6,511.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,946.68 / $3,461.22 / $20,671.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.29 / $2,230.66 / $3,562.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.35 / $1,889.95 / $3,562.57