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North Dakota rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $55.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $776.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $80.00