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North Dakota rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.33 / $189.33 / $189.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.33 / $199.36 / $199.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.31 / $287.68 / $294.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.63 / $335.95 / $422.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.38 / $199.36 / $1,347.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $129.83 / $207.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $129.83 / $207.53