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North Dakota rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,995.26 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,388.44 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $2,511.89