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North Dakota rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.23 / $68.23 / $68.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.23 / $84.00 / $84.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.70 / $103.70 / $106.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $141.65 / $178.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.30 / $84.00 / $496.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $51.95 / $77.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.08 / $150.08 / $150.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $50.26 / $77.98