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North Dakota rates for HCPCS L0174

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.36 / $263.36 / $263.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.87 / $185.87 / $263.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.45 / $400.17 / $410.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.88 / $392.76 / $493.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.62 / $263.36 / $1,611.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.41 / $180.13 / $335.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.02 / $153.02 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.89 / $180.13 / $335.53