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North Dakota rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.32 / $619.32 / $619.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.49 / $558.49 / $619.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.92 / $941.06 / $964.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.88 / $941.19 / $1,183.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.20 / $619.32 / $3,392.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.14 / $354.70 / $678.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.66 / $1,024.66 / $1,024.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.16 / $354.70 / $678.25