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North Dakota rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.09 / $3,111.09 / $3,111.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.09 / $3,802.05 / $3,802.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,998.18 / $4,727.26 / $4,844.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,262.38 / $5,315.00 / $6,683.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.04 / $3,753.95 / $21,186.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.56 / $3,031.88 / $3,975.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.38 / $2,021.25 / $3,407.11