go back

North Dakota rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.13 / $1,939.13 / $1,939.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.59 / $1,697.59 / $1,939.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.06 / $2,946.49 / $3,019.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.38 / $2,860.70 / $3,597.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.03 / $1,939.13 / $12,090.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.74 / $1,266.82 / $2,123.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,266.82 / $2,123.64