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North Dakota rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $67.61 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $109.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $83.18 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $61.66 / $100.00