go back

North Dakota rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.62 / $270.62 / $270.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.84 / $193.84 / $270.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.79 / $411.21 / $421.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.25 / $326.48 / $410.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.10 / $270.62 / $1,530.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.98 / $154.51 / $296.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.87 / $154.51 / $296.37