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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
$52.14 / $52.14 / $52.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $65.55 / $65.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.01 / $79.23 / $81.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.50 / $110.60 / $139.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.96 / $60.19 / $377.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $39.69 / $59.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $56.70 / $99.06