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North Dakota rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.66 / $753.66 / $753.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.66 / $787.28 / $787.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.55 / $1,145.17 / $1,173.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.63 / $1,326.76 / $1,668.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.52 / $787.28 / $5,476.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.68 / $552.80 / $861.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.40 / $1,657.40 / $1,657.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $516.79 / $861.32