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North Dakota rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.95 / $285.95 / $285.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.82 / $204.82 / $285.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.49 / $434.50 / $445.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.63 / $345.04 / $433.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.80 / $285.95 / $1,539.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.56 / $171.58 / $313.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $163.27 / $313.17