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North Dakota rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.65 / $479.65 / $479.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.65 / $529.02 / $529.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.41 / $728.83 / $746.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.75 / $891.58 / $1,121.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.82 / $529.02 / $3,518.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.64 / $328.90 / $543.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $362.18 / $659.27