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North Dakota rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $891.25 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,122.02 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,698.24 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,230.27