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North Dakota rates for HCPCS L1990

Ankle Foot Orthosis 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
$365.36 / $365.36 / $365.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.36 / $391.21 / $391.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.54 / $555.16 / $568.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.88 / $659.40 / $829.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.05 / $391.21 / $2,738.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.06 / $250.53 / $417.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $250.53 / $417.55