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North Dakota rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $70.70 / $70.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.37 / $73.15 / $73.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.87 / $107.44 / $110.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.88 / $123.09 / $154.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.10 / $73.15 / $510.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $48.49 / $80.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $48.49 / $80.81