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North Dakota rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.43 / $65.43 / $65.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.02 / $54.02 / $65.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.08 / $99.41 / $101.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.25 / $105.29 / $132.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.14 / $65.43 / $472.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.83 / $52.35 / $92.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $44.87 / $74.78