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North Dakota rates for HCPCS L1290

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

Facilitymedian $65 · 10th–90th $65–$1450%50%90th$65Professionalmedian $65 · 10th–90th $42–$1070%10%10th90th$65$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $54.95 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $107.15 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $87.10 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $44.67 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $64.57 / $109.65