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North Dakota rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $181.97 / $977.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $309.03 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $275.42