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North Dakota rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.65 / $135.65 / $135.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.65 / $159.81 / $159.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.32 / $206.11 / $211.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.63 / $269.29 / $338.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.85 / $135.65 / $992.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.28 / $95.63 / $155.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $92.18 / $92.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $95.63 / $155.03