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North Dakota rates for HCPCS L1200

Thoracic-Lumbar-Sacral-Orthosis (Tlso) Inclusive Of Furnishing Initial Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.06 / $1,540.06 / $1,540.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.13 / $1,498.13 / $1,540.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.19 / $2,340.10 / $2,398.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.75 / $2,524.75 / $3,174.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.14 / $1,540.06 / $9,758.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.60 / $1,027.39 / $2,094.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.08 / $977.66 / $1,686.60