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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
$1,713.68 / $1,713.68 / $1,713.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.88 / $1,618.88 / $1,713.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.32 / $2,603.92 / $2,668.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,701.13 / $2,728.14 / $3,430.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.04 / $1,713.68 / $10,889.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.37 / $1,152.79 / $1,876.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,152.79 / $2,470.26