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North Dakota rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $66.07 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $35.48 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $117.49 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $100.00