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North Dakota rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.35 / $405.35 / $405.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.62 / $334.62 / $407.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.94 / $615.92 / $631.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.25 / $687.05 / $863.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.75 / $407.68 / $3,004.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.96 / $324.27 / $572.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $440.84 / $660.08