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North Dakota rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $57.54 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $93.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $81.28 / $457.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $138.04 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $123.03