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North Dakota rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,777.76 / $2,777.76 / $2,777.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.76 / $3,394.67 / $3,394.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,569.80 / $4,220.77 / $4,325.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,698.38 / $4,745.35 / $5,966.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.22 / $3,351.73 / $18,916.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.03 / $2,707.02 / $3,549.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.11 / $2,707.02 / $3,042.06