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North Dakota rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.43 / $131.43 / $131.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.37 / $81.37 / $131.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.91 / $199.71 / $204.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $158.69 / $199.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.88 / $131.43 / $722.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $75.04 / $143.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $75.04 / $143.93