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North Dakota rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.65 / $63.65 / $63.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.65 / $76.14 / $76.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.80 / $96.71 / $99.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $128.40 / $161.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.84 / $76.14 / $468.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.85 / $48.45 / $103.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.17 / $48.45 / $135.88