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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
$62.00 / $62.00 / $62.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $78.95 / $78.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $94.22 / $96.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.63 / $132.94 / $167.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.79 / $78.95 / $457.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $47.25 / $101.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.09 / $67.43 / $140.91