go back

North Dakota rates for HCPCS L1290

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.43 / $64.43 / $64.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $65.05 / $65.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.80 / $97.90 / $100.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.38 / $109.46 / $137.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.10 / $65.05 / $470.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.28 / $49.04 / $91.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.66 / $141.66 / $141.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $44.18 / $73.63