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North Dakota rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.10 / $189.10 / $189.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.37 / $169.37 / $189.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.01 / $287.32 / $294.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.75 / $285.58 / $359.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.83 / $189.10 / $1,059.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.87 / $116.42 / $219.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.14 / $129.66 / $243.75