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North Dakota rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.13 / $241.13 / $241.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.85 / $238.85 / $241.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.88 / $366.39 / $375.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.63 / $402.61 / $506.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.45 / $241.13 / $1,586.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.04 / $168.33 / $264.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.72 / $240.47 / $360.95