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North Dakota rates for HCPCS L1990

Ankle-foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $302.00 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $501.19 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $602.56