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North Dakota rates for HCPCS L2030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.34 / $830.34 / $830.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.34 / $906.81 / $906.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.09 / $1,261.69 / $1,293.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.13 / $1,528.26 / $1,921.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.49 / $906.81 / $6,073.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.68 / $569.38 / $948.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $909.35 / $1,618.31