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North Dakota rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.37 / $1,676.37 / $1,676.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.60 / $1,666.60 / $1,676.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,154.36 / $2,547.21 / $2,610.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.63 / $2,808.43 / $3,531.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.92 / $1,676.37 / $11,712.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.94 / $1,149.51 / $1,893.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.52 / $1,261.50 / $2,304.13