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North Dakota rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $107.15 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $331.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $177.83 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $100.00 / $245.47