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North Dakota rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.40 / $360.40 / $360.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.91 / $343.91 / $360.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.17 / $547.63 / $561.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.75 / $579.49 / $728.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.25 / $360.40 / $2,095.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.11 / $218.14 / $394.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.85 / $394.70 / $613.75