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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
$1,258.93 / $1,258.93 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,698.24 / $9,120.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,818.38 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $2,041.74