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North Dakota rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.04 / $464.04 / $464.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.31 / $396.31 / $464.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.35 / $705.10 / $722.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.13 / $667.74 / $839.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.82 / $464.04 / $2,777.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.48 / $287.92 / $508.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $302.57 / $641.67