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North Dakota rates for HCPCS L1846

Knee orthosis (KO), double 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
$919.95 / $919.95 / $919.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.88 / $755.88 / $979.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.27 / $1,397.86 / $1,432.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.25 / $1,650.59 / $2,075.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.67 / $979.51 / $6,648.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.74 / $630.82 / $1,046.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.58 / $630.82 / $1,046.46