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North Dakota rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.69 / $1,251.69 / $1,251.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.69 / $1,302.49 / $1,302.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.60 / $1,901.93 / $1,949.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.13 / $2,194.86 / $2,759.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.84 / $1,302.49 / $9,141.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.40 / $858.30 / $1,430.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $858.30 / $1,430.50