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North Dakota rates for HCPCS L1620

Hip Orthosis Abduction Control Of Hip Joints Flexible (Pavlik Harness) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.82 / $109.82 / $109.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.65 / $90.65 / $131.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.13 / $166.86 / $171.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.38 / $221.57 / $278.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.05 / $131.54 / $791.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $78.70 / $125.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $83.60 / $189.31