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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
$20.67 / $20.67 / $20.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.67 / $21.55 / $21.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.56 / $31.41 / $32.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.30 / $38.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $21.55 / $134.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $19.25 / $22.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $19.25 / $22.63