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North Dakota rates for HCPCS L1844

Knee Orthosis Single Upright Thigh And Calf With Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.25 / $1,471.25 / $1,471.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.90 / $1,274.86 / $1,471.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.76 / $2,235.54 / $2,291.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,127.00 / $2,148.27 / $2,701.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.53 / $1,471.25 / $9,309.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.81 / $992.17 / $1,611.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.75 / $893.69 / $1,611.24