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North Dakota rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $177.83 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $213.80