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North Dakota rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.21 / $102.21 / $102.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.21 / $130.15 / $130.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.36 / $155.31 / $159.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.13 / $219.30 / $275.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.20 / $123.01 / $757.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.97 / $77.88 / $116.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.88 / $111.16 / $196.68