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North Dakota rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.65 / $498.65 / $498.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.44 / $471.08 / $498.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.83 / $757.69 / $776.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.00 / $793.86 / $998.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.31 / $498.65 / $3,157.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.05 / $479.20 / $695.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $335.44 / $546.10