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North Dakota rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.32 / $393.32 / $393.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.91 / $379.91 / $393.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.47 / $597.64 / $612.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.75 / $640.09 / $804.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.13 / $393.32 / $2,544.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.37 / $263.81 / $430.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.06 / $263.81 / $565.30