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North Dakota rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $31.62 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $37.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $25.12 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.13 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $41.69 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $17.78 / $30.20